- Molina Healthcare (NY)
- …Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN licensure. The candidate should have proficient ... organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work… more
- Encore (New York, NY)
- …consistency in event production. This position will partner with Project Management , Sales, and Operations teams in determining event technical requirements and ... The Project Manager will report to the Associate Director, Project Management . **Key Job Responsibilities** _Event Project Management_ * Prepare and communicate… more
- Staffing Solutions Organization (Albany, NY)
- …in nature and will perform duties in the areas of Data Analysis, Project Management and Business Analysis. The individual will be responsible for the research and ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...production of reports in support of the intake and management of healthcare data. The ideal candidate will be… more
- New York State Civil Service (Syracuse, NY)
- …related to all types of: traffic engineering and mobility; safety program management ; transportation systems management and operations. Specific assignment for ... position may be as the Region 3 Accident Damage Recovery and Claims Manager.Reassignments within Transportation Maintenance to address operational needs can be… more
- Bowery Residents Committee (Manhattan, NY)
- …the agency's collective bargaining agreement and developing and implementing performance management strategies. You will also be responsible for conducting internal ... investigations and providing guidance to management on employee-related matters. Your role will be critical...Equal Employment Opportunity (EEO) regulations. + Respond to unemployment claims and participate in Department of Labor hearing +… more
- City of New York (New York, NY)
- …will enhance his or her well-being. HASA provides intensive case management , rental assistance, emergency and non-emergency housing, and assistance with applying ... and appeal. Under the general supervision of the Director of Contract Management with latitude for individual initiative and judgement performs difficult and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the denial process. + ... Leads interdisciplinary complex care management rounds. + Provision of clinical oversight and leadership...system. + Develops, conducts concurrent and retrospective reviews of claims and appeals and resolves grievances related to medical… more
- WTW (New York, NY)
- …key risk areas. + Identify and close potential cross-sell opportunities. **Client Management :** + Maintain consistent/high quality touch points by phone and face to ... face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client Management team in identifying and closing… more
- Centene Corporation (New York, NY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , cost containment,… more
- AIG (New York, NY)
- Make your mark in Catastrophe Risk Management The North American Catastrophe Risk Management team is responsible for catastrophe modelling and portfolio exposure ... management for AIG's North American Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe… more