- Tutor Perini (New York, NY)
- …great nation. We construct and rehabilitate highways, bridges, tunnels, mass-transit systems , and water management and wastewater treatment facilities. In short, we ... 100 million + Experience preparing cost reports + Knowledge of legal/contract and claims processes + Proficiency with MS Office software ; familiar with industry… more
- Celestica (New York, NY)
- …solution to the customer + Commercial mgmt. support (contracts, reconciliation claims and pricing) + Customer and Celestica technology roadmaps, forecasting, future ... for products from advanced medical devices, to highly engineered aviation systems , to next-generation hardware platform solutions for the Cloud. Headquartered in… more
- Anthony Jordan Health Corp (Rochester, NY)
- …ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health ... While independent, Jordan Health actively collaborates with the major hospital and healthcare systems in our operating area to provide a total safety net of… more
- Molina Healthcare (NY)
- …to detail, and a willingness to engage with complex datasets across varied systems . The analyst will work closely with experienced team members and internal partners ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- Molina Healthcare (Albany, NY)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems , quality improvement, medical utilization management, risk management, risk… more
- Bowman (Albany, NY)
- …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... industry is required. + Proven track record and knowledge of working with accounting systems such as Deltek Vision. **About Bowman** Are you ready to build a career… more
- Cardinal Health (Albany, NY)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... negotiating skills + Ability to develop and implement policies, projects, processes, systems and controls across a complex company + Ability to work independently,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then appropriately accounted for and returned to clients. ... Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems , providers as well as other TPAs, and enables them to solve… more
- Cardinal Health (Albany, NY)
- …laws and regulations, (eg, Stark, Corporate Practice of Medicine, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Proactively identify ... negotiating skills + Ability to develop and implement policies, projects, processes, systems and controls across a complex company + Ability to work independently,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …with management and program staff on the development of strategies, systems , policies/procedures, as appropriate to correct identified issues. + Attends trainings ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more