- Cognizant (Albany, NY)
- …role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from ... ownership and responsibility for assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims, appeals, and retro-authorization… more
- Northwell Health (Melville, NY)
- …the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and ... facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor… more
- Department of Defense Education Activity (West Point, NY)
- …of specialized experience is typical of work performed at the next lower grade/ level position in the federal service (GS-07). OR Education: Master's or equivalent ... graduate degree or 2 full years of progressively higher level graduate education leading to such a degree in...such a degree in a field which demonstrates the knowledge , skills, and abilities necessary to do the work… more
- Cardinal Health (Albany, NY)
- …insights + Business Requirements documentation experience preferred + Experience in data management , data governance + Knowledge of Cardinal Heath business ... processes and systems preferred + Project management experience preferred + Operational Excellence, Lean Six Sigma...**What is expected of you and others at this level ** + Applies working knowledge in the… more
- Amazon (New York, NY)
- …strive to become Earth's Best Employer. That's why you'll find endless knowledge -sharing, mentorship and other career-advancing resources here to help you develop ... or business development in software, cloud or SaaS markets selling to C- level executives experience - 7+ years of business development, partner development, sales… more
- Molina Healthcare (Rochester, NY)
- …as it pertains to contracting (benefit and provider), network management , credentialing, prior authorizations, fee schedules, and other business requirements ... designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results. **Job Qualifications** **REQUIRED… more
- Mount Sinai Health System (New York, NY)
- …OIC, VBCS, PCS, BI, OTBI, FRS, DevOps & App composer etc. at an expert level . Experience: + 8+ years of experience using Oracle PaaS & Fusion ERP, HCM platform ... utilizing Oracle BI, OTBI, BICC, and/or FRS. + Extensive Knowledge of underlying database structure for Oracle Fusion Cloud...between others, and communicate architecture to all levels of management and customers ? Ability to gain buy-in from… more
- CRC Insurance Services, Inc. (NY)
- …following CRC guidelines with minimal or no supervision 5. Good organizational, time management , and detail skills 6. Extensive knowledge of insurance and CRC ... **Required Qualifications:** The requirements listed below are representative of the knowledge , skill and/or ability required. Reasonable accommodations may be made… more
- GovCIO (Albany, NY)
- …and experience. May administer tests. May include military trainers. + Confers with management , employees and clients to gain knowledge of work situations ... to include: + Criminal history (past 7 years) + Verification of your highest level of education + Verification of your employment history (past 7 years), based on… more
- Molina Healthcare (Queens, NY)
- …this position must live in or near Queens or Brooklyn ** KNOWLEDGE /SKILLS/ABILITIES** + Responsible for achieving established goals improving Molina's enrollment ... for Molina. + Works closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations… more
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