- City of New York (New York, NY)
- …employment and work engagement services, revenue-producing computer matches, claims processing systems, and personnel management systems. ITS/Enterprise Solutions ... Management is recruiting for one (1) Deputy Commissioner of IT M-IV, to serve as the Assistant Deputy Commissioner, IT Transformation, Application Development, and Operations; This key leadership position will report directly to the Deputy Commissioner of… 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 ... and assesses business and legal risks + Demonstrate excellent communication skills and ability to provide business clients with clear and precise guidance on business, compliance, and legal risks + Develop and conduct legal training for business clients + Seek… more
- Centene Corporation (New York, NY)
- …DRG, HCPC reimbursement methodologies. + Documents rate negotiation accurately for proper claims adjudication. + Acts as liaison between the TRICARE beneficiary and ... the provider, facility and the MTF to utilize appropriate and cost effective medical resources within the direct care and purchased care system. + Identifies and refers potential cases to Disease Management, Case Management, Demand Management and Transitional… more
- Molina Healthcare (Buffalo, NY)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Has direct oversight of enrollment, premium billing and reconciliation processes and all related staff + Coaches and mentors direct staff, including goal setting and score card development + Monitors and enforces compliance… more
- Bassett Healthcare (Cooperstown, NY)
- …inspections Lead weekly construction progress meetings Support change-order evaluation, claims mitigation, and schedule optimization Financial & Risk Management ... Develop detailed project budgets and track expenditures throughout the project lifecycle Lead financial forecasting, develop cash flow statements, review value engineering opportunities, and drive cost control strategies Identify, document, and manage project… more
- Zurich NA (New York, NY)
- …area. OR * Bachelors Degree and 18 or more years of experience in the Claims or Underwriting Support area AND * Experience in a specialized insurance line of ... business or segment (Cargo) Preferred Qualifications: * CPCU *Established Broker partnerships in New York area. * Strong knowledge of underwriting philosophy, techniques, national/local filing regulations and guidelines * Ability to effectively assess risk *… more
- Rallye Motor Company (Westbury, NY)
- …customer or by the warranty. + Work and enter third party tire claims through various electronic applications. Shop Assistant / QC Tech Responsibilities: + Examine ... and test-drive all vehicles to ensure that the cause of vehicle malfunctions and recommend/ perform repairs are completed. Communicate all discrepancies to the Service Manager. + Road test vehicles as required or refer to the inspection technician as… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. more
- Meta (Albany, NY)
- …4. Respond to counterparty inquires and manage contract amendments, collateral, force majeure claims , and other issues as needed 5. Surface and resolve issues in ... ongoing contracts and project operations 6. Track and analyze clean energy operational project performance 7. Track and analyze renewable energy financial project performance 8. Track project progress through development and construction milestones and lead… more
- Meta (New York, NY)
- …on prescription wearer and channel needs and mindsets 7. Manage prescription product claims , content, and pricing in B2C and B2B contexts, and for wearers with ... and without insurance **Minimum Qualifications:** Minimum Qualifications: 8. 5+ years of experience in product marketing, product management, management consulting, business strategy in vision correction and/or eye health fields 9. Experience building… more