- Citigroup (New York, NY)
- …laws + Serve as a partner and advisor on employment contracts, claims of discrimination, and employment-related arbitration + Advise on all matters pertaining ... existing laws that impact the geography + Actively participate in various risk review and control forums while demonstrating keen awareness of issues that could… more
- Weeks Marine (Brooklyn, NY)
- …field operations and work sequences in conjunction with the Project Executive * Review project estimate or plan to determine estimated job cost, procedures for ... the monthly job cost updates and quarterly cash flow projections. Also, review , approve, and negotiate change orders * Anticipate project needs with sufficient… more
- City of New York (New York, NY)
- …and fair price; ensure that the costs of project stay within budget. 12. Review and analyze contract cost estimates/delay claims prepared by external consultants ... developed and managed in the most efficient and effective manner. 2. Review design scope criteria, perform quantity take-offs, formulate undefined scope assumptions,… more
- Tompkins Community Bank (Attica, NY)
- …expectations + Complete service requests including but not limited to claims , premium payments, policy endorsements, identification card issuance, photo & property ... customers and recommend enhancements to current customers + Thoroughly review renewals for remarketing and remarket appropriately + Process...to self-direct the completion of job duties Benefits + Medical + Dental + Vision + 401(k) Match +… more
- Whitney Young Health Center (Albany, NY)
- …clinical pharmacy services. Responsible for ensuring the proper compounding, dispensation, review , and verification of prescribed medications within NYS and federal ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Humana (Albany, NY)
- …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... issues. manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or… more
- CVS Health (Albany, NY)
- …with resolution of problems involving research into policy, data, or claims . Identifies, researches, develops, and recommends solutions to problems/issues. - ... with the Job Summary **Required Qualifications** 6 months minimum experience with clinical review - Proficiency in Aetna Systems utilized in CCR - Rumba, ASD,… more
- CVS Health (Albany, NY)
- …Monitor service performance and implement improvements, as necessary. Gain in-depth knowledge of claims system and Call Tracking System to be able to lookup and ... in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data… more
- UHS (Vestal, NY)
- …to patients according to physician orders and pharmacy regulations + Review prescriptions for clinical appropriateness, potential drug interactions, allergies, and ... laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access +...Comprehensive Benefits for Life & Family - We offer medical , dental, and vision coverage starting the first of… more
- Intermountain Health (Albany, NY)
- …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital....reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… more