- ABM Industries (Jamaica, NY)
- …and coordinates bus evacuation activities as appropriate + Immediately reports any incidents or claims to Operations Manager or Shift Lead. + Refuels and ... maintains shuttle equipment and maintains assigned fuel use logs + Always maintains a clean work environment, disinfecting shuttle after each use + Maintains safe driver designation and applicable physical and dexterity standards + Performs pre-inspection and… more
- CVS Health (New York, NY)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities**...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walgreens (Queens Village, NY)
- …with the Store Manager **Job ID:** 1655313BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations , administrative activities; Ensures efficient pharmacy workflow and a… more
- Healthfirst (NY)
- …from an accredited institution + Experience in Healthcare/Health Plan customer service, operations , vendor management, or claims processing. + Previous work ... **Preferred Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing,… more
- Molina Healthcare (Syracuse, NY)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... Network), for management and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …corresponding policy, procedure, and programs. **Job Summary:** Reporting to the Director of Operations , the Manager of Compliance and Clinical Operations is ... state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance and Clinical Operations will also have… more
- WIN Waste Innovations (Somers, NY)
- WIN Waste Innovations is looking for an Operations Manager of Collections, who will be responsible for the safe and efficient operation of the facility in ... policies and standards, under the direction of the General Manager or Director. Responsibilities: + Manages a staff, including...and objectives; and effective resolution of safety issues and claims . + Implement and execute plans to complement the… more
- CVS Health (Albany, NY)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- EAC Network (Garden City, NY)
- Budgets and Contracts Manager Job Details Level Experienced Job Location 99 Quentin Roosevelt Blvd Suite 200, Garden City, NY, 11530 - Garden City, NY Position Type ... Services Join Our Team as a Budgets and Contracts Manager for ourFinance department here at EAC Network! Are...develop plans to address variances. + Process and submit claims requests within 10 business days of the end… more