- Danaher Corporation (New York, NY)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director of Data & AI is responsible for the ... analyses, and data visualization. + Proven experience with RWE/RWD (EHR, claims , registries, labs/device telemetry) to inform clinical, regulatory, and market access… more
- Celestica (New York, NY)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal point ... guidance to ensure capacity is installed as needed. + Supports E&O claims , shortage management and follow up escalations with customers for resolutions.… more
- Ankura (NY)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex client engagement(s). The successful candidate will be a "person of stature" and… more
- Molina Healthcare (Yonkers, NY)
- …focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... * Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring… more
- Fresenius Medical Center (New York, NY)
- …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review of data and reporting. + Provides consolidated business / payer mix / revenue by payer / treatment mix on a monthly basis including… more
- Kyndryl (Albany, NY)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- City of New York (New York, NY)
- …program administration. - Utilizing automated systems and tools to verify that claims submitted to Grantors are accurate and timely. - Reviewing and reconciling ... provider invoices in PASSPort against approved budgets to confirm accuracy prior to submission. - Conducting grant eligibility reviews to ensure compliance and assess impacts on Personnel Services (PS) and Other Than Personnel Services (OTPS) budgets. -… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …discrepancies by payers. Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in developing, ... Position Summary Manage claims adjudication by identifying contractual variances between posted...providing guidance and direction relating to the performance of claims adjudication process. Train staff and administrators to support… more
- City of New York (New York, NY)
- …cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the ... who will: - Directly and indirectly supervise staff in Claims processing/establishment of claims /recovery of manual payments/Program...ensure that compliance is met. - Represent the Executive Director and/or Director in their absence at… more
- Zurich NA (New York, NY)
- …experience in the Claims or Underwriting Support area OR AVP, Underwriting Director - E&S Casualty Basic Qualifications: + High School Diploma or Equivalent and ... Zurich is currently looking to hire an experienced Executive Underwriter OR AVP, Underwriting Director - E&S Casualty to join the new E&S Primary Casualty team in… more