- Capgemini (New York, NY)
- …Experience in managing agile delivery for insurance platforms such as policy administration claims processing and customer portals. + Proficiency in agile tools ... product development and digital transformation programs. **Key Responsibilities** + Lead agile ceremonies including sprint planning daily standups sprint reviews… more
- GovCIO (Albany, NY)
- …Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and Payment Processing knowledge, Healthcare Eligibility Verification knowledge + ... metrics. + Assures test plans are built with enough lead time to implement them. + Influence testers and...domain expertise. + Ability to conduct independent research to lead or support the resolution of complex questions and… more
- Capgemini (New York, NY)
- …or general insurance Deep understanding of insurance operations including underwriting claims processing policy servicing and renewals Familiarity with core ... and strategic execution of multi stream programs involving policy administration claims billing and digital servicing **Key Responsibilities:** Lead end… more
- Family of Kidz (Westbury, NY)
- …Program Responsibilities: + Input of new students demo information + Assist in processing and scheduling referrals for clinic based services + Updating correct demo ... to correct files as needed + Cleanup projects in Claims About You: If you have these attributes: +...of each child's needs and teaching them skills that lead to greater independence and an enhanced quality of… more
- Centene Corporation (Queens, NY)
- …stakeholders related to operational areas. + Oversee day-to-day operations including claims processing , provider network management, member services, utilization ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
- Bassett Healthcare (Cooperstown, NY)
- …the submission of provider data to IT for system updates and reimbursement processing for accuracy + Lead coordination with Information Technology to maintain ... staff performance, and collaborates with internal departments to support clean claims and regulatory compliance. + Decision Maker + Credentialing & Enrollment… more
- ADM (White Plains, NY)
- …the loading and discharge of bulk cargoes, initiating freight payments, claims handling, calculating laytime, and settlement of freight accounts. Additional duties ... day to day activities, the candidate is expected to lead and participate with Global Ocean Freight initiatives and...Responsible for handling and settling of complex disputes and claims + Responsible for coordinating complex stow plans with… more
- City of New York (New York, NY)
- …ongoing subsidies throughout their participation. These continued activities include processing annual and interim recertifications to update family income/assets, ... and recommends responses to Article 78 petitions, New York City Comptroller claims , Freedom of Information requests, reviews legal documents pertaining to legal… more
- Mount Sinai Health System (New York, NY)
- …System. Serves as mentor to others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or BS degree minimum, in a ... care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...Identifies contingency plans for potential risks. + Strong data processing / transformation skills using tools like SQL, R,… more
- Tutor Perini (New York, NY)
- …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... work items and procures long- lead items. + Interprets designs and drawings for crafts...+ Assists with monthly billings, cash flow projections, and processing change orders. + Reviews mock-up and/or shop drawings… more
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