- Seton Education Partners (Bronx, NY)
- …Network Team. The analyst directly supports campuses by monitoring the case management process for initials, annual, and re-evaluation IEP meetings. Another key ... students with disabilities. Main Responsibilities + Submit bi-monthly special education billing claims to the NYC DOE by verifying the accurate implementation of IEP… more
- Guardian Life (Albany, NY)
- …value from our data and analytic products. Key responsibilities include data lifecycle management , insight development, and data product delivery. We are a team of ... leaders. Our solutions and actions are critical to Guardian's revenue growth, risk management and customer experience. Guardian created a Data Science Lab (DSL) to… more
- Healthfirst (NY)
- …+ Manages assigned initiatives, including workplan development, stakeholder management , change management , implementation, success measurement, and ... and configuration, integration efforts and ongoing support to end-users. + Change management experience that includes defining scope of a project, adhering to… more
- City of New York (New York, NY)
- …Perform/review 100% of all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review (where applicable) within ... CPA firms for audit status if they are not meeting deadline. - Support management on special projects such as data analysis of the audit status/results and prepare… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …triaging, processing and delivery of prescriptions to the patient. Assist in the management of the Pharmacy Inventory and Third Party Receivables. Assists in the ... training of new employees. Assists the pharmacist in proper inventory management . **Responsibilities** **Job Duties:** + answering telephones + Intermediate to… more
- City of New York (New York, NY)
- …fiscal integrity and proper disbursement of funds through NYC's Financial Management System (FMS) for services including Emergency Medical Assistance, Homecare, ... active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - Develop and… more
- CVS Health (Albany, NY)
- …ensuring alignment with strategic goals. + **Drive innovation** in cost management through the development of analytical models, policies, and programs. + ... **Partner with Network Management ** to analyze contracted rates and identify actionable insights...provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and… more
- Elevance Health (Middletown, NY)
- …The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... telephonic clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- City of New York (New York, NY)
- …and clarify other construction issues. - Review and research contractors' dispute claims and advise Borough Director on solutions. Resolve field condition issues. ... of full-time satisfactory experience in supervising employees performing project management work, such as planning, administering, managing, coordinating, or… more
- Insight Global (New York, NY)
- …specialist in Mastercard or Visa chargeback processes for a Disputes Product Management Lead position supporting the AppleCard! This is an individual contributor ... you will be a part of their Consumer Product Management organization driving end-to-end product development lifecycles for new...of work for the Dispute teams back-office operations. The claims agents use Pega Dispute as their platform to… more