- US Tech Solutions (New York, NY)
- …+ Partner with key teams in Product to map creative research and claims , creative product roadmaps and build marketing GTM plan for launches and announcements. ... + Oversee 3P research with GMI and integrate findings into creative narratives for sales and clients. + Project manage creative content marketing to amplify key messages throughout the year via Streaming and Social activation channels. + Thought Leadership:… more
- Molina Healthcare (Syracuse, NY)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more
- CP Unlimited (Carmel, NY)
- …the code of business conduct, the NYS and federal False Claims Act, whistleblower protection, and mandatory reporting. Complete corporate compliance training ... at least annually. Fully cooperate in all corporate compliance investigations and reviews. more
- City of New York (New York, NY)
- …to handle the Division's contract cases, including delay damages and other claims under multimillion-dollar construction contracts with private companies to build or ... repair the City's infrastructure, contracts for critically needed goods and services, and procurement process disputes, as well as counseling City agencies regarding procurement issues, the contractual ADR process, and other matters. We litigate primarily in… more
- UHS (Johnson City, NY)
- …teams by assisting in the reconsideration and appeals process for denied claims + Collaborates with clinical and administrative teams to ensure documentation meets ... payer and agency standards for approval + Assists with onboarding and training new staff regarding commercial insurance processes, policies, and payer expectations + Maintains current knowledge of commercial and managed care insurance requirements to ensure… more
- Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
- …role will involve tasks such as: + Billing Medicare and Medicaid + Reviewing claims for accuracy + Appealing and correcting denials + Posting cash receipts + ... Reviewing ledgers + Other responsibilities that may arise. Ideal Candidate + Already experienced in the field, with strong Medicare and HMO billing knowledge. + Experience with at least 2 years of PCC (Point Click Care) billing experience Qualifications +… more
- City of New York (New York, NY)
- …stay within budget. 12. Review and analyze contract cost estimates/delay claims prepared by external consultants for accuracy and reasonableness; perform ... reconciliation and make recommendations. 13. Recommend, coordinate, and update current cost variations for the project cost trend program, price library, NYCHA historical database, and other reference material. Key Competencies - Quantity Takeoff - Accurately… more
- ConnextCare (Pulaski, NY)
- …all Employee Incident Reports, maintain OHSA reporting logs 18. Oversee Worker's Compensation claims 19. Assign and track completion of all annual inservices for the ... organization 20. Assist with audits and reporting as requested 21. Accept direction from management, possess the ability to work well and with compassion in stressful situations maintaining a professional and courteous demeanor 22. Assist with and promote all… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- AECOM (New York, NY)
- …to mitigate and eliminate such risks + Direct staff to minimize exposure to claims and ensure projects are completed without significant issues + Work with the ... Project Manager throughout all phases of the project to obtain client satisfaction and ensure financial project performance + Communicate effectively with clients and project teams, including public agencies + Facilitate team communication, coordination, and… more