- Guardian Life (New York, NY)
- …Overview:** We are seeking a highly skilled and proactive **Data Management Operations Specialist ** to join our Data Management team in the insurance industry. This ... within a fast-paced and highly regulated industry. **Key Responsibilities:** + ** Support Data Operations:** Assist in managing the end-to-end data lifecycle, from… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Clinical Quality Specialist - On-site/Rensselaer - FT/DAY** Under the direction of the ... analysis and reporting for Senior Leadership, Clinicians and Administrators in support of Quality Improvement Initiatives. + Implements data collection and reporting… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Description** + Provide interpretation/translation to various meetings/projects to support Otsuka's global initiatives involving Otsuka staff, partner companies, ... of subscribed systems and tools and monitor usage. + Support various department projects and initiatives, including the implementation...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- Rochester Regional Health (Rochester, NY)
- …Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The Clinical Risk Management Specialist plays a pivotal role in enhancing patient safety and improving the ... Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal) to integrate risk management principles into daily… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- Community Habilitation Specialist Type of Position Per Diem Search Location(s) Brooklyn, NY Apply Now ... Services to individuals with Developmental Disabilities in community based settings. Support individuals to attain independence by providing ADL services. Shift… more
- Arnot Health (Elmira, NY)
- …employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with ... 9. Completes various government and employee requested forms such as medical support notices, Medicare verifications, and DSS requests. 10. Responsible for any… more
- Mount Sinai Health System (New York, NY)
- …experience Minimum of eight years of revenue cycle experience. **Responsibilities** 1. Support the collaboration between CBO and MSHP IPA, to provide routine data ... payer policies, contract language, contract negotiations, CMS fee schedule updates, claims submission and appeals, claims adjudication and coverage policies,… more
- Highmark Health (Albany, NY)
- …and key internal/external stake holders to provide the most appropriate support for providers with gain/risk share contracts. **ESSENTIAL RESPONSIBILITIES** + ... and interpretation of quality and efficiency reports; When relevant, dissemination and support of gap closures for STARS and improved coding for government… more
- Northwell Health (Lake Success, NY)
- …quantitative and qualitative data from internal and external data sources in support of business decisions. Ensures the translation of business requirements into ... design and programming specifications. + Oversees research and data analysis in support of resolution of production issues. + Coordinates with other IT groups… more