- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=7108) Job Brief The Incident Management Investigator assists with completing thorough investigations into situations… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Committee (IRC) Sub-Committee, OPWDD, or Justice Center (JC) reviews. 10. Alerts Incident Management Investigator and/or Sr. Director of any new incident reports ... reviews. 11. Escalate any obstacles to completing investigations to the Incident Management Investigator and/or Sr. Director of Investigations. 12. Other duties… more
- Cognizant (Albany, NY)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… 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
- Air National Guard Units (Westhampton Beach, NY)
- …5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGEMENT ANALYST, Position Description Number T5636P01 and is part of the 106TH RQW, ... the criteria for appointment of annuitants. Responsibilities As a FINANCIAL MANAGEMENT ANALYST, GS-0501-9/11, you will plan, coordinate, and perform comprehensive… more
- City of New York (New York, NY)
- …services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH ... services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a team of talented health… more
- AON (New York, NY)
- …for an experienced Account Executive/Broker II to support our Managing Director and Practice Leaders in placing complex Professional Liability, Employment Practices ... Liability, Management Liability, Technology Errors & Omissions, and Cyber insurance....consulting niche. You'll act on behalf of the Managing Director when needed, ensuring client needs are met with… more
- JPMorgan Chase (White Plains, NY)
- Become an integral part of Chase Wealth Management team where you will have the opportunity to work in a fast-paced organization and each day will be unique! This ... and quality. As an Executive Assistant in Chase Wealth Management you will need to work well in a...catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed… more