- Molina Healthcare (NY)
- …databases. Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they ... apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. Responsible for work… more
- Calspan (Buffalo, NY)
- …ideas to life-and it all starts with a strong foundation of operational excellence. We're looking for a full-time Financial Operations Analystto join our ... USD $24.00/Yr. Salary Range (max) USD $32.00/Yr. Refer a friend (https://careers-calspan.icims.com/jobs/2536/financial-operations- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336025229) Job LocationsUS-NY-Buffalo Job ID 2025-2536… more
- CVS Health (Albany, NY)
- …contract or demographic information are resolved. * Supports or assists with operational activities that may include, but are not limited to, database management, ... and contract coordination. * Performs credentialing support activities as needed. * Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. * Meets with… more
- American Express (New York, NY)
- …metrics. + Understand the master and reference data to be used across operational and reporting processes. + Support regulatory reporting to ensure compliance with ... the reporting guidelines issued by regulators. + Ensure compliance with internal policies and procedures. + Support reviews and audits eg, Federal Reserve Exam, Internal Audit Group review and others. + Work closely and coordinate with various regulatory… more
- American Express (New York, NY)
- …enabling partner priorities, and maintaining a continuous focus on operational transformation. **Key Responsibilities:** + Acting as the Marketing Execution ... Lead (MEL) for Amex Offer campaigns. This includes managing and submitting offers through all required review processes and working closely with compliance review partners and marketing partners to ensure all campaigns are fully approved prior to launch. +… more
- M&T Bank (Buffalo, NY)
- …with targeted Bank Examinations as required. + Adhere to applicable compliance/ operational risk controls in accordance with Company or regulatory standards and ... policies. + Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by external regulators as applicable. + Complete other related duties as assigned. **Scope of… more
- SMBC (New York, NY)
- …Financing (including Subscription Financing and Asset-based lending), FX/Derivatives, and Operational services. The role within the Financial Institutions Group will ... be responsible for Banks and Broker Dealer client coverage, including all aspects of client development, new business generation, and cross-selling of SMBC Group's various products and services. The individual will partner with product areas specialists to… more
- ASM Research, An Accenture Federal Services Company (Albany, NY)
- …+ Documents customer/call communications processes and makes recommendations. + Implements operational process improvement initiatives on a regular basis, as well as ... through long-term projects. + Provides call quality metrics data to generate and maintain volume forecasts to support management with scheduling and staffing needs. + Leads brainstorming sessions to improve call system, communications processes, customer… more
- Evolent (Albany, NY)
- …expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated ... claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health,… more
- M&T Bank (Buffalo, NY)
- …minimum of 8 years' combined higher education and/or operational /business analytics/systems development experience Excellent verbal and written communication ... skills Excellent organizational skills Excellent time management skills Excellent lateral thinking skills Excellent problem-solving skills Prior experience multitasking for various components of complex projects. Prior experience coordinating between… more