- City of New York (New York, NY)
- …(3) Principal Administrative Associate III to function as a Human Services Payment Analyst who will: - Perform quality assurance review of vouchers ensuring they are ... Accelerator, FMS, and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the accuracy of reimbursement.… more
- Molina Healthcare (Syracuse, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- IBM (New York, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with proven ability… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- Molina Healthcare (Yonkers, NY)
- …formal training in Business Analysis and/or Systems Analysis + 1-3 years of Claims or Adjustment experience in Medicare and/or Medicaid + Familiarity with QNXT, ... iServe, Project Management To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more
- AIG (New York, NY)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more
- Molina Healthcare (Yonkers, NY)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... impact of trends * Evaluate financial performance by comparing and analyzing actual results to historical financial results, perform variance analysis reports, identify trends, and make recommendations for improvements * Maintains a high level of understanding… more
- Highmark Health (Albany, NY)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Hamilton-Fulton-Montgomery BOCES (Johnstown, NY)
- …certified payroll or Board resolution; Oversees the preparation of Warrant of Claims for all accounts including generation of warrants, entering of purchase order ... information, verifying expenditures and releasing checks for payment approved by the Board of Education; Assists the Treasurer, BOCES in various aspects of annual budget development and BOCES aid reporting; Responsible for the investment of monies including… more