- Guidehouse (New York, NY)
- …on state Medicaid, public health or state and local health and human services programs, including health benefits exchanges, Medicaid expansion, Medicaid managed ... Health, Developmental and Intellectual Disabilities, State Units on Aging and/or Social/Human Services in the development of strategic plans to support the statewide… more
- Research Foundation CUNY (New York, NY)
- …Counselor (Saturday Program) PVN ID: BA-2508-006971 Category: Instruction and Social Service Location: BARUCH COLLEGE Job Description General Description The Baruch ... (Science, Technology, Engineering, and Mathematics) education and providing college preparation. Managed through the CUNY Research Foundation, we serve 200 middle… more
- Breaking Ground (New York, NY)
- …in upstate New York and Connecticut. Supportive housing - affordable housing paired with services designed to help people maintain their homes for the long-term - is ... But we didn't stop at providing housing. Breaking Ground's programs and services help people experiencing street homelessness - especially those who have been… more
- Capital One (New York, NY)
- …experts to build cutting edge solutions to help customers** + **Deliver well- managed product platforms for customers by seeking to understand technology trends and ... + **Cloud Enthusiast: has expertise in, or are excited about, cloud services experience** + **Excellent at communications: understands the importance of storytelling… more
- St. Mary's Healthcare (Amsterdam, NY)
- …denials and rebilling of denied claims. . Assess financial responsibility for services provided and inform patients and/or practitioners of any non-authorized ... services . . Review, monitor and bill Episode of Care claims for our Managed Care plans. . Maintain monthly KPIs and ROI analysis on hospital claim volume. .… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …support maintenance, including VMWare, Active Directory administration, and Amazon Web Services . Proficient in IT security software and database management. Strong ... systems, MS Office, computer hardware, and desktop support concepts such as managed endpoints (Cortex and Bigfix). Familiarity with virus and spyware protection,… more
- The New Jewish Home (Manhattan, NY)
- …and reports as requested by the Director of Admissions. 7. Contacts Managed Care Companies to obtain pre-authorization; reviews level requirements to obtain ... 1. Responds politely and helpfully to telephone and in-person requests for service consultations. 2. Excellent writing and clinical assessment skills. 3. Good… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... on the severity of illness and the site of service . The Lead, HCS (Clinical) functions as clinical staff...quality. This position will support our Molina One Care Services business in Massachusetts. We are looking for a… more
- Healthfirst (NY)
- …and implement metrics, quality benchmarks and related analysis on performance and service levels to inform strategic and tactical business decision-making. + Analyze ... solving, and analytical skills. + Experience within any area of operations (Member Services , Enrollment & Billing, Claims, Provider Services , etc.). + Experience… more
- Cardinal Health (Albany, NY)
- …better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of ... ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining insurance, prior authorization, and appeal requirements… more