- 32BJ Benefit Funds (New York, NY)
- …healthcare or health benefits environment + Prior knowledge of healthcare regulations, payer /provider dynamics, and valued-based care models preferred + Internal ... Code G2825HF Department Name Health Fund Admin Reports To Director , Chief of Staff FLSA Status Exempt Union Code...processes that guide how work is prioritized, resourced, and managed across the Health Fund. This individual will play… more
- WMCHealth (Valhalla, NY)
- …within the outside the hospital as necessary (especially admitting, billing office, fiscal, managed care , insurance case managers, finance) and the screeners. + ... Services PC City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt- WMC Health Union: No Position: Full Time Hours: M-F… more
- Cognizant (Albany, NY)
- …Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in health ... management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical… more
- SUNY Upstate Medical University (Syracuse, NY)
- …is required, including regulatory compliance requirements. Extensive knowledge of Medicare, Medicaid, Managed Care is required. + Strong analytical and computer ... local laws and regulations. Monitors billing compliance with all third-party payer regulations. + Maintains confidentiality in compliance with HIPAA regulations and… more