- MVP Health Care (Schenectady, NY)
- …a visionary **Senior Director of Payment Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and ... reduce provider disputes through process redesign and automation. + Lead root cause analyses and corrective action planning for...+ Ensure correct coding and reimbursement aligned with ICD-10, CPT /HCPCS, DRG, and CMS guidelines. + Serve as a… more
- Eaton Corporation (Syracuse, NY)
- …is currently seeking a Strategy and M&A Business Development Manager to lead Global Industrial Segment strategy and M&A for Eaton's Electrical Sector. This ... roadmap, manufacturing footprint, and commercial approaches. * Participate or lead special, cross-functional initiatives playing a central role in...position. This means that Eaton will not support any CPT ,OPT, or STEM OPT plans, F-1 to H-1B, H-1B… more
- Independent Health (Buffalo, NY)
- …understanding of reimbursement methodologies and underlying coding requirements (eg, DRG, CPT , & ICD9) as deployed across provider networks and services. + ... in depth knowledge of the subject matter. + Participate in and/or lead analytics and research associated with alternative reimbursement and other initiatives by… more
- Eaton Corporation (Syracuse, NY)
- …achievement of team goals * Strategic allocation of technical project resources * Lead the application engineering department and the position's direct reports. * ... Lead and participate in engineering projects and proposals for...position. This means that Eaton will not support any CPT , OPT, or STEM OPT plans, F-1, H-1B, H-1B… more
- Molina Healthcare (Albany, NY)
- …to drive positive operational and financial outcomes for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis and ... the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational… more
- General Motors (Buffalo, NY)
- …OR OTHER IMMIGRATION SUPPORT FROM THE COMPANY (eg, H-1B, OPT, STEM OPT, CPT , TN, J-1, etc.)** **This job is eligible for relocation benefits.** **Onsite** - ... Maintain Process Flow Diagrams, Control Plans and PFMEAs. + Lead plant Equipment Install / Debug / Launch /...and Zero Congestion and we embrace the responsibility to lead the change that will make our world better,… more
- Evolent (Albany, NY)
- …an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This ... and inclusion** are central to our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims, membership, and… more
- MVP Health Care (Rochester, NY)
- …of Medicaid, Medicare, and Commercial claims processing. + Familiarity with ICD-10, CPT , HCPCS, and Revenue codes. + 2 years' supervisory experience is preferred. ... initiatives, and mentor a high-performing team to meet organizational goals. + Lead and manage claims teams across Medicaid, Medicare, Commercial, and Data Entry… more
- Garnet Health (Middletown, NY)
- …experience of Inpatient and Outpatient coding in a supervisory capacity or as a Lead Coder required. At least four years recent coding and abstracting experience in ... a Hospital setting required. Thorough knowledge of ICD-10-CM, PCS, CPT coding classifications as well as the rules and regulations regarding coding and abstracting… more
- Molina Healthcare (NY)
- …develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data analyses, ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT , HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) +… more