- Molina Healthcare (Syracuse, NY)
- …abuse. + Coordinates with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather ... documentation pertinent to investigations. + Detects potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review. + Prepares appropriate FWA referrals to regulatory agencies and… more
- Deloitte (Jericho, NY)
- …rationalization and harmonization, guide or playbook creation and the design of the contracting processes The wage range for this role takes into account the wide ... range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been… more
- Robert Half Finance & Accounting (Ozone Park, NY)
- …offers an exciting opportunity to lead financial operations within a construction sub- contracting organization, which is a subsidiary of a larger construction firm. ... The ideal candidate will bring expertise in accounting, internal controls, and financial reporting, while fostering a strong team environment. Responsibilities: * Oversee all accounting and controlling operations for the business unit, providing leadership and… more
- Molina Healthcare (Albany, NY)
- …internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Establishes and maintains ... timelines for reports and projects. + Generates and distributes weekly/monthly/quarterly/annually standard reports. + Must have experience in analyzing Utilization management, member health risk assessment data using SQL, Databricks and create reports using… more
- Molina Healthcare (Albany, NY)
- …business and system requirements of customers as it pertains to contracting , benefits, prior authorizations, fee schedules, and other business requirements. ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to… more
- The Estee Lauder Companies (Long Island City, NY)
- …Freight, Ocean, Inbound/Outbound) and *Skilled in Logistics and Distribution contracting terminology and establishing robust frameworks *Analytical & strong ... presentation skills, including MS Office suite (Excel and Powerpoint) *Proficient in ERP technology, preferably SAP ECC, SAP SRM, and Ariba Sourcing and Contracts *Experienced as Procurement lead on major Logistics and Distribution projects across a region or… more
- Molina Healthcare (Rochester, NY)
- …and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider ... records for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in training current staff and new hires as necessary. + Generates and distributes Network… more
- CVS Health (Albany, NY)
- …performance metrics + Apply project management/organizational skills to execute contracting changes or correction plans and communicate succinctly to ... cross-functional workgroups + Develop strategic relationships with all Aetna LOBs to create transparency and improve organizational knowledge of KPI performance + Develop creative technical solutions to incorporate efficiencies into daily work **Required… more
- Trinity Health (Albany, NY)
- …meets the requirements within two years of their start of employment or contracting for the performance of surgical technology 1-2 year of previous OR experience ... preferred Must possess adequate hearing, vision, and hand dexterity to manipulate instruments and equipment while functioning in multiple surgical specialties Preferred requirements: 1+ year of experience as a surgical tech in an operating room setting Strong… more
- Aerotek (East Rochester, NY)
- …license. Additional Skills & Qualifications + Experience in construction and contracting . + Proficiency in furniture assembly and installation. + Handyman skills ... and experience with sheetrock. Why Work Here? We offer opportunities for growth and advancement. Start in the installer role and have the potential to move up to a foreman position and eventually into project management and more. We support employees in… more