- Molina Healthcare (Yonkers, NY)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial terms ... (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- LaSante Health Center (Brooklyn, NY)
- …manage phone calls and administrative tasks efficiently to ensure smooth clinic operations . Responsibilities : + Greet patients professionally both in person and ... financial records and collecting patient charges while filing and expediting third-party claims Qualifications: + Fluent in Haitian Creole + Customer servic e skills… more
- AIG (New York, NY)
- …Provides technical direction to management, less senior specialists, producers, and claims adjusting personnel. Communicate risk appetite and AIGRM Value Proposition ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- Trinity Health (Syracuse, NY)
- …Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** Management ** OPERATIONS /COMPLIANCE:** Is responsible for data management, investigation & reporting. ... Works with leadership to develop risk mitigation plans associated with litigated claims . Ensures that patient care-related incidents are reported to Trinity System… more
- New York State Civil Service (Albany, NY)
- …that align with business goals. The Director will oversee the daily operations of the creative team within the Communications Department, working closely with ... multiple audiences.* Collaborate closely with client relations, sales, underwriting, claims , and product development teams to ensure marketing initiatives support… more
- AIG (New York, NY)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- Robert Half Office Team (Albany, NY)
- …skills and the ability to maintain confidentiality while supporting HR operations effectively. Responsibilities: * Manage employee benefit programs, including health ... with HR vendors and brokers to address escalated support needs and claims administration. * Maintain accurate and confidential records of human resource files… more
- BronxCare Health System (Bronx, NY)
- …Care Units to perform clerical and receptionist duties related to the day-to-day operations of the Nursing Units. Are responsible for the coordination of unit ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- OLV Human Services (Lackawanna, NY)
- …standards 8. Work directly with all Program Staff on all aspect of operations , both clinical and administrative as needed 9. Participate in all required employee ... all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others 11. Keep all patient, personnel and… more
- J&J Family of Companies (New York, NY)
- …product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related ... the expertise of others (eg, Managed Markets ADs, Medical Affairs, Sales Operations , etc.). For select HCP/Accounts, leads/coordinates with customer team to develop… more