- Molina Healthcare (Albany, NY)
- …building business cases and securing resources across IT, Compliance, Quality, and Operations to fund high-return enhancements. **Core** ** ** **Duties** 1. Case ... timelines. 2. Workflow Integration - Embed CTM insights into downstream operations -Stars, appeals & grievances, enrollment, claims-so each team addresses systemic… more
- Molina Healthcare (Syracuse, NY)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of ... + 5 + years of experience with oversight, auditing, government regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... activities. + Resolves problems and complaints that may arise in day-to-day operations that involve clinical HCS staff. Communicates findings to the Supervisor or… more
- Molina Healthcare (Yonkers, NY)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist. The Sr. Specialist, Digital Marketing will be responsible for analyzing and ... and/or tools **Knowledge/Skills/Abilities** + 3-5 years experience in marketing / operations / analytics / campaign management + Marketing Cloud required experience… more
- Molina Healthcare (Buffalo, NY)
- …with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using ... complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified… more
- Molina Healthcare (Buffalo, NY)
- …response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations , clinical teams, and retrieval vendors-to ensure accurate data sourcing ... discipline **Required Experience** + 3-5 Years of experience with healthcare -related data (claims/encounters, provider, CMS/EDGE response files, etc. + 3-5… more
- Bassett Healthcare (Oneonta, NY)
- …that the department continues to be an efficient member of the healthcare team Willingly assists Pharmacists as requested. Works cooperatively and within ... 1 year Pharmacy Technician experience, preferred Successful mastery of required tasks and operations as taught and mentored by pharmacy staff by the end of six… more
- Bassett Healthcare (Cooperstown, NY)
- …of heating, cooling ventilation, and the mechanical needs within Bassett Healthcare Network. Serves in monitoring, inspecting, repairing, adjusting, maintaining, and ... efficient maintenance service. Maintains records of maintenance and preventive maintenance operations according to established policies and procedures to ensure that… more
- Bassett Healthcare (Cooperstown, NY)
- …to oncoming shift information about work in process, priorities, and other operations as measured by supervisory observation and feedback from other staff Uses ... of hire (Previously employed, as a SPD in a healthcare facility for a cumulative period of one year...but not on a regular basis Total Rewards Bassett Healthcare Network's commitment to our employees includes benefit programs… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for services. **Travel** : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to ... + Provide insights regarding trends in medical billing to operations team + Follow, create and improve the Policies...as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more