- Centene Corporation (New York, NY)
- …MAP, Medicare Advantage, and cost-sharing arrangements. + Knowledge of utilization, claims , member-months, and how they relate to cost reporting. + **Leadership ... in a related environment with minimum one year experience in a supervisor /manager capacity.** Pay Range: $68,700.00 - $123,700.00 per year Centene offers a… more
- Albany International Airport (Albany, NY)
- POSITION: Airport Operations Supervisor REPORTS TO: Operations Manager LOCATION: ALB AIRPORT: Albany International Airport SUMMARY Assists the Operations Manager in ... collection and dissemination of data such as property or personal injury claims , unusual occurrences, and malfunctioning machinery or equipment for use of management… more
- Highmark Health (Albany, NY)
- …are met. Represent the department in compliance audits as it relates to the supervisor 's functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc.).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Constructive Partnerships Unlimited (Queens, NY)
- Clinical Supervisor Type of Position Full time Search Location(s) Queens, NY Apply Now ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- Supervisor of Life Safety and Facilities Type of Position Full time Search Location(s) Staten Island, NY Apply Now ... the code of business conduct, the NYS and Federal False Claims Acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- Catholic Health Services (Smithtown, NY)
- …care services to maximize reimbursement. + Claim Review: Review and analyze submitted claims for accuracy and identify potential areas for improvement or appeal. + ... Regulatory Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare, Medicaid) and ensure compliance. + Data Analysis: Analyze reimbursement data to identify trends and opportunities for improvement in care and… more
- City of New York (New York, NY)
- …Supervises liaisons to agency benefits offices, payrolls and carriers for eligibility, claims payments under the NYCE PPO. - Directs staff responsible for assisting ... employees navigating both ESS and application Forms. - Monitors Liaisons to Agency HR, Unions and active employees. - Conducts on-going training of personnel assigned to the liaison unit. - Handles all personnel matters including performance review and any… more
- University of Rochester (Rochester, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... and related health plan functions such as member services, claims , and the referral process. As well as functions...The care manager provides feedback to the non-care manager's supervisor , as needed, at the time of the annual… more
- Whitsons Culinary Group (Islandia, NY)
- …Specialist is responsible for managing the end-to-end workers' compensation claims process, ensuring timely, accurate, and cost-effective resolution of all ... claims . This role serves as the primary liaison between...essential functions, and duties of the position. Work Schedule Monday through Friday Supervisor Joseph M Taranto Salary Target… more