- Catholic Health (Buffalo, NY)
- …as a business and the unique moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic ... or order at all times while employed at Catholic Health . + Completion of four (4) units of Clinical...social teaching + Ten (10) years of experience in health care recommended KNOWLEDGE, SKILL AND ABILITY + High… more
- Catholic Health (Buffalo, NY)
- …as a business and the unique moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic ... or order at all times while employed at Catholic Health . + Completion of four (4) units of Clinical...in one or more of the following are recommended: health care, education, mission or spiritual care KNOWLEDGE, SKILL… more
- Molina Healthcare (Albany, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... objectives and processes associated with the enterprise. + Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been… more
- Catholic Health (Lackawanna, NY)
- …as a business and the unique moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic ... in one or more of the following are recommended: health care, education, mission or spiritual care KNOWLEDGE, SKILL...+ Commitment to Ethical and Religious Directives for Catholic Health Care Services + Exhibits strong pastoral identity +… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of ... various agencies/departments such as DART, MAP, OCSS, OLA, OTDA, NYS Dept. of Health , DARB, MIS, AO-Systems, BFI, ACS, Dept. of Correction, Fair Hearing, Food and… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana values… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CPHL is committed to providing quality, ... coordinated health care to some of the most honored and yet still vulnerable members of our community. Centers Plan for Healthy Living (CPHL) appreciates its team… more
- CVS Health (Albany, NY)
- …and clinical support to members as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. ... At CVS Health , we're building a world of health...benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- Molina Healthcare (Syracuse, NY)
- …Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity with ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Centene Corporation (New York, NY)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more