- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... determine medical necessity and appropriate payment. + May develop alliances with the provider community through the development and implementation of the medical management programs. + As needed, may represent the business unit before various publics both… more
- Publicis Groupe (New York, NY)
- …* Drive integration of data partners (eg, identity graphs, retail media networks, claims data) into targeting strategies. * Stay ahead of data privacy regulations ... and platform policy changes to inform compliant audience practices. **Qualifications** * 10+ years of experience in media strategy, digital marketing, or data-driven performance roles. * Proven track record of building and optimizing audience-based media… more
- Kyndryl (Albany, NY)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- City of New York (New York, NY)
- …laws in the nation. Through its Law Enforcement Bureau (LEB), the Commission accepts claims filed by the public, and has the power to initiate its own investigations ... to affirmatively root out discrimination, harassment, retaliation and other violations of the NYCHRL. The Commission's Community Relations Bureau (CRB) is empowered to take action against prejudice, intolerance, bigotry, discrimination and bias-related… 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
- NBC Universal (New York, NY)
- …make sure insurance requirements are fair and achievable. + Handle insurance claims from start to finish-analyzing coverage, investigating issues, and pushing for ... timely, favorable outcomes. + Create and maintain clear, consistent risk management processes and documentation. + Oversee the department's budget, including premiums and operational costs. + Develop and lead junior team members as needed. What You Bring: +… more
- University of Buffalo - Campus, Dining (Buffalo, NY)
- …and Leave Administrator Reports to Benefits and Leave Manager/Human Resource Director Department Human Resources FLSA Status Full-Time, Exempt Salaried Position ... handbooks. workers compensation benefits, and safety programs and unemployment claims . This role reports directly to the Benefits and...Manager and this department reports to the Human Resource Director . Expected Hours of Work This is a full… more
- City of New York (New York, NY)
- …cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the ... who will: - Directly and indirectly supervise staff in Claims processing/establishment of claims /recovery of manual payments/Program...ensure that compliance is met. - Represent the Executive Director and/or Director in their absence at… more
- The Institute for Family Health (New Paltz, NY)
- …membership logs and reports data on shared drive spreadsheets + Communicate to Director of Revenue Cycle and IT department changes required to facilitate the ... medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider...Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for… more
- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York....to a Senior Attorney and indirectly to the Deputy Director , duties for the Attorney position include, but are… more