- Molina Healthcare (Syracuse, NY)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $71,612.39 - $110,999.20 The Clinical Technical Specialist is a technologist (clinical laboratory/cytology/histology) and performs procedures/tests ... independent judgement and responsibility with minimal supervision. The Technical Specialist has expertise in laboratory medicine in the specialty/subspecialty area… more
- Guidehouse (New York, NY)
- …remote** .Daily duties for this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits ... codes and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠… more
- Air National Guard Units (Scotia, NY)
- …32 EXCEPTED SERVICE POSITION. This National Guard position is for a SECURITY SPECIALIST (TRAINING SPECIALIST ), Position Description Number D2161000 and is part ... not meet the criteria for appointment of annuitants. Responsibilities As a SECURITY SPECIALIST (TRAINING SPECIALIST ), GS-0080-09, you will serve as the subject… more
- WSP USA (New York, NY)
- …oversee contractor deliverables, cost estimates, and change orders, supporting negotiations, claims resolution , and progress payment reviews. + Prepare detailed ... WSP is currently initiating a search for a **Construction Manager / Signal Specialist ** to join our Transit & Rail Team. The selected candidate will support… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... resolution to members or authorized representatives in accordance with...system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. *… more
- JDA Partners Technical Services Group LLC (New York, NY)
- JDA TSG - Technology Specialist Onsite presence required at JDA's NYC office Monday-Friday. Location: New York, NY (on-site) Salary Range: $50,000 - $65,000 per year ... + Coordinate with third-party vendors as needed for escalations or warranty claims . + Support both macOS and Windows devices, including imaging, updates,… more
- Gilead Sciences, Inc. (Brooklyn, NY)
- …of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and ... compliance, behavior, and conduct * Assist in the identification and resolution of issues and opportunities, communicate proactively to Marketing and Sales… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …directing incoming calls to appropriate staff members. + Provide Help Desk resolution of customer service issues to ensure complete client satisfaction. + Provide ... Help Desk resolution of Pharmacy Network problems to ensure complete client...annual management reports for PBM clients, and from our Claims Processor. + Assist with on-site client orientation, health… more
- CVS Health (Albany, NY)
- …customers. - Conducts audits of provider information and escalates issues for resolution as appropriate. - Automates and manually loads, maintains, and resolves all ... into applicable systems. **Required Qualifications** - 1-3 years' of Medicaid claims experience. - 1-3 years' Network background. **Preferred Qualifications** - 1+… more