- TD Bank (New York, NY)
- …advanced understanding of a range of product and services, processes, procedures, systems and concepts within their own area of specialty and integration points ... identifies matters requiring additional review, escalation, and liaises with appropriate staff to resolve, as appropriate + Coordinates tracking and reporting of… more
- M&T Bank (Buffalo, NY)
- …Uses judgment based on the analysis of information to identify meaningful information + Display proficiency in the systems /tools used to generate standard ... and prepare financial analysis and reports. Provide management with financial information for use in setting and obtaining bank objectives. **Primary… more
- Molina Healthcare (Albany, NY)
- …of provider information , as needed. + Assists in training current staff and new hires as necessary. + Generates and distributes Network Related ... **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Highmark Health (Albany, NY)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims, clinical, enrollment and provider data + ... matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals **Language… more
- WTW (New York, NY)
- …procedures and processes are adhered to. + Record and maintain all information accurately on the appropriate systems , including initial introduction to ... captive stop loss programs, and loss portfolio transfers. Our staff have deep Alternative Risk expertise and provide a...program proposals and RFPs + Gathering exposure and loss information to facilitate submission creation and analytics + Prepare… more
- Molina Healthcare (Buffalo, NY)
- …Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ... databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on… more
- M&T Bank (Williamsville, NY)
- …delivery with the ability to analyze large amounts of data and information to provide meaningful insights and professionally communicate those insights to management ... compliance testing. + Manage the planning, testing, and implementation of new projects, systems , products and regulatory changes impacting the unit (dept). + Act as… more
- University of Rochester (Brighton, NY)
- …Mentors' customers and others on the team, including precepting other staff . Works collaboratively with operational governance groups or similar customer ... skills required + Solid technical aptitude and an understanding of computer systems and IT functions. Skilled in using Microsoft software, specifically Office and… more
- Molina Healthcare (Syracuse, NY)
- …risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various systems to support executive decision-making. + ... scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. +… more
- M&T Bank (Buffalo, NY)
- …delivery with the ability to analyze large amounts of data and information to provide meaningful insights and professionally communicate those insights to management ... compliance testing. + Manage the planning, testing, and implementation of new projects, systems , products and regulatory changes impacting the unit (dept). + Act as… more