- CVS Health (Albany, NY)
- …do it all with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of ... requirements, policies, and procedures. **Key Responsibilities:** + Review provider dispute resolutions according to organizational guidelines. + Research and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes by our ... Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling claim disputes. +… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... years) in labor relations, including contract negotiations, grievance handling, and dispute resolution. + Strong knowledge of labor laws, employment regulations, and… more
- Stony Brook University (Commack, NY)
- …negotiation, and management of all Managed Care contracts for the health system , ensuring compliance with contractual obligations, State and Federal regulations, and ... on commercial and government changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract… more
- New York State Civil Service (Albany, NY)
- …for distributed generators (DG), distributed energy resources (DER), and energy storage systems (ESS) while maintaining electric utility system safety and ... as an Ombudsperson for Distributed Generation in the Office of Energy System Planning and Performance with responsibilities for overseeing the administration of and… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title The State University of New York - Assistant Counsel, Employee Relations Occupational Category Legal Salary Grade ... NY Zip Code 12246 Duties Description As part of Counsel's Office, the System Office of Employee Relations represents the University in its relations with unionized… more
- American Arbitration Association (New York, NY)
- …are actively recruiting for a Director of the International Centre for Dispute Resolution (ICDR) to deliver case management services, drive business development, ... ensures information is entered and maintained in online case management system (PRISM); utilizes discretion and independent judgment by applying high-level knowledge… more
- Molina Healthcare (Buffalo, NY)
- …+ Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints from Molina members, providers and related outside ... timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical… more
- L3Harris (Rochester, NY)
- …land, sea and cyber domains in the interest of national security. Communication Systems ' Tactical Communications (TCOM) sector is the world leader in ground tactical ... mission radio solutions and global provider of integrated communication systems including SATCOM, infrastructure, battlefield management and planning. Position… more
- Tutor Perini (White Plains, NY)
- …operational resiliency and redundancy for New York City's water supply system . **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** As a **Change ... orders or claims with clients, subcontractors, or vendors. + Support dispute resolution through documentation and participation in mediation, arbitration, or… more