- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of BronxCare Clinics and to all Corporate compliance policies and procedures (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c)… more
- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d)… more
- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and… more
- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d)… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …thinking, employee development, and by offering competitive compensation and benefits. In support of the Americans with Disabilities Act, this job description lists ... only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I - Minimum $18.00 - Maximum $20.00 Levell II - Minimum $21.00 - Maximum $23.00 The salary range indicated in this posting… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the ... place for a fulfilling long-term career. Position Details: + Professionally handle incoming inquiries via telephone, email or fax from providers (ie physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and… more
- Independent Health (Buffalo, NY)
- …scenario testing to assess impacts on pricing outcomes. + Establish and implement claims review processes to support risk adjustment. Analyze data and provide ... provide a full scope of actuarial and statistical analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will … more
- CVS Health (New York, NY)
- …part of the NextGen Production Support Environment team, focusing on Non-Production Support : + Claims system: Health Rules Payer (HRP) + Enrollment systems: ... + Analyze defect reports across the Non-Production Environments. + Provide on-call support 24x7 as needed on a rotating basis. + Participate in infrastructure,… more
- Tutor Perini (White Plains, NY)
- …and Claims Register. + Participate in negotiation of change orders or claims with clients, subcontractors, or vendors. + Support dispute resolution through ... changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare claim… more
- Warner Bros. Discovery (New York, NY)
- …pursue, open matters with Docketing team, instruct foreign counsel, gather evidence to support claims , and review drafts of pleadings and other correspondence. + ... **Trademark Prosecution** - Responsible for large volume of US and International prosecution matters. Ability to manage deadlines and communicate effectively verbally and in written communication. Corresponds regularly with internal counsel, clients and… more