- Molina Healthcare (Syracuse, NY)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring. + Provides peer review of… more
- City of New York (New York, NY)
- Job Description The Office of Chief Medical Examiner investigates cases of persons who die within New York City from criminal violence, by accident, by suicide, ... to meet evolving needs The NYC Office of Chief Medical Examiner is accepting applications from admitted attorneys for...workforce. The Deputy EEO Officer will address all EEO-related claims and issues, and lead efforts related to design,… more
- Anthony Jordan Health Corp (Rochester, NY)
- …to health and health care, meeting their need for comprehensive medical , dentistry, behavioral health, and community services. Starting in northeast Rochester, ... ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health… more
- OLV Human Services (Lackawanna, NY)
- …the individuals. - Leads the Site Team in weekly discussion to ensure that all medical appointments are completed as scheduled and that all necessary follow up ... (Including but not limited to: Life Plans, LCED's, meal intake, medical monitoring, medication administration, staff action program data/goals, Therap notes,… more
- Elevance Health (Latham, NY)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Barnes & Noble (New York, NY)
- …and other factors permitted by law. WhatYouDo: * Coordinate Proposition 65 claims , recalls and similar, including communication, documentation, follow -up, and ... veteran status, religion, creed, disability, sex, sexual orientation, marital status, medical condition as defined by applicable law, genetic information, gender,… more
- BronxCare Health System (Bronx, NY)
- Overview Secure pre-authorizations for medical and ancillary services. Communicate on a daily basis with practice managers, clinicians and staff to ensure that ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Elevance Health (New York, NY)
- …structure or through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- Elevance Health (Latham, NY)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... Loss underwriting experience preferred + Demonstrated knowledge, and proficiency in Medical Stop Loss Underwriting. For candidates working in person or virtually… more
- City of New York (New York, NY)
- …and advocacy through interactions with law enforcement, the criminal justice system, the medical examiner's office, and others as necessary. The goal of this program ... with Bronx Homicide Detectives. - Assist homicide survivors in navigating the medical Examiner's office. - Provide immediate emotional support and offering concrete… more
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