- Robert Half Finance & Accounting (New York, NY)
- …including budgeting, planning, reporting, compliance, and audits . Lead revenue cycle management and ensure accurate billing, coding, and claims across Medicaid, ... those most impacted by social determinants of health. Our client is seeking a Director of Finance to serve as a strategic and hands-on leader, reporting directly to… more
- Danaher Corporation (New York, NY)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director of Data & AI is responsible for the ... of cross-functional projects with clear stage gates, use cases, and risk management ; manage diagnostic OpCo and academic partner relationships. + Communicate impact… more
- Kyndryl (Albany, NY)
- …oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management , People:** + Lead by example; Fostering a culture of continuous ... vaccination policies. Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are**… more
- Mount Sinai Health System (New York, NY)
- …concerns. 7. Identifies trends, patterns and findings. 8. Fields issues of concurrent risk management concerns, and/or of a medical , legal and ethical nature. 9. ... of preliminary reports, and determination of priority of investigation given risk management assessment. 10. Collaborates with the Director /Senior Director … more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …**Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational scientific ... The Manager, Medical Core Content is a team-level operational role...external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key Responsibilities Include:**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Cognizant (Albany, NY)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more
- ConvaTec (Massapequa, NY)
- **About Convatec** **Pioneering trusted medical solutions to improve the lives we touch:** Convatec is a global medical products and technologies company, ... focused on solutions for the management of chronic conditions, with leading positions in Advanced...Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +… more
- Guthrie (Cortland, NY)
- …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. + Serves ... Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination,...requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as… more