- WMCHealth (Valhalla, NY)
- …ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the ... & Cost-Saving Initiatives + Evaluate contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Identifies, investigates, and analyzes issues and questions. Collects and interprets data and information to support provider network contracting and administration ... activities. Applies applicable contract terms, regulatory and legal requirements, and other information to produce accurate and actionable analysis. * Effectively… more
- City of New York (New York, NY)
- …for one (1) IT Project Specialist, to function as an IT Budget & Contract Specialist, who will: - Develop IT project budgets and funding requests. Prepare statements ... the operation of funded programs, expenditure and funding status to ensure IT contract compliance. - Create interaction models and interface designs for IT projects… more
- Cornell Cooperative Extension (Oriskany, NY)
- …program committees, and other key stakeholders as identified to collect evaluation data . + Recommend program changes to strengthen and improve programs. + ... results and findings. + Assist in analyzing collected program evaluation data for reporting and program improvement purposes using standard, established policy,… more
- Molina Healthcare (Syracuse, NY)
- …of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, ... validating data to be housed on databases, and ensuing adherence...combination of relevant education and experience. + Must have Contract configuration experience in Networx. + Experience with QNXT… more
- Unity Technologies (New York, NY)
- **Remote, USA** **Senior Workday Financials Engineer ( Contract )** Location Remote, USA Department Engineering Requisition ID JOBREQ-2515367 **Role description** ... development, deployment, and ongoing operational support across Workday Financials, including data integrations where needed. You will collaborate closely with the… more
- Nelnet (Albany, NY)
- …using tools such as 3270 emulator software and IBM InfoSphere Optim Test Data Management Solution. . Compare test results between legacy and updated systems to ... through comprehensive test reporting and validation. **Pay Rate:** _This is a contract position contingent upon project needs, with a compensation range of $72-$77… more
- Molina Healthcare (Yonkers, NY)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Loads and maintain contract , benefit or reference table information into the claim… more
- City of New York (New York, NY)
- …to identify violations of CWZ rules and instances of breach of contract . - Manage multiple contracts, from day-to-day review to in-depth compliance analysis, ... CWZ awardees. - Training CWZ awardees in compliance and data processes. - Collaborate with agency IT, Legal and...Collaborate with agency IT, Legal and Enforcement divisions on data and compliance processes. - Produce periodic detailed reports… more
- FlexStaff (Lake Success, NY)
- **Req Number** 172198 13 week contract . Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, ... provided and documents same; + Performs variance analysis related to outcome data for performance improvement; + Designs, implements, and evaluates systems to… more