- Molina Healthcare (Albany, NY)
- …CMS timelines. 2. Workflow Integration - Embed CTM insights into downstream operations -Stars, appeals & grievances, enrollment, claims -so each team addresses ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- AIG (New York, NY)
- …with primary responsibility for operational controlling as it relates to insurance claims disbursements, in close coordination with AIG's global claims function ... of activity. Key Responsibilities: * Driving the timely clearance of insurance claims disbursements through subledgers, ensuring cash is applied properly against … more
- Molina Healthcare (Yonkers, NY)
- …with Customer/Member services, Provider Services, Sales, Enrollment, UM, Case Management, Claims , and other departments within Molina Medicare and Medicaid regarding ... A&G operations and dependencies. * Responsible for the A&G department...experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including… more
- Zurich NA (New York, NY)
- …utilize your marketing / analytical skills along with your knowledge of marine operations to analyze and underwrite new and renewal marine hull and liability ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- City of New York (New York, NY)
- …technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding, and technical capacity to deliver ... accuracy according to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic teams to ensure… more
- City of New York (New York, NY)
- …that all DEP's legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of litigation and claims ... unit. - Respond to litigation support requests, discovery demands, subpoenas, Comptroller claims , and/or other forms and papers related to legal proceedings and… more
- OLV Human Services (Lackawanna, NY)
- …The Dental Office Manager at Baker Victory Healthcare Center oversees the daily operations of the dental clinic, ensuring compliance with NYS DOH Article 28 ... a strong emphasis on patient satisfaction, regulatory compliance, and financial operations . A critical part of the role involves evaluating insurance coverage,… more
- City of New York (New York, NY)
- …technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver ... personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency… more
- Molina Healthcare (Yonkers, NY)
- …Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. This includes ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …for ensuring the robustness, scalability, and compliance of upstream operations through effective technology transfer, validation support, process monitoring, ... assessment. + Provide expert technical oversight of upstream manufacturing operations at CDMOs, including review of batch records, deviation...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more