- Molina Healthcare (NY)
- …**Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts ... research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. This position is responsible for implementing the test approach,… more
- ThermoFisher Scientific (Grand Island, NY)
- …When you join us at Thermo Fisher Scientific, you'll be part of an inquisitive team that shares your passion for exploration and discovery. With revenues of more than ... $40 billion and the largest investment in R&D in the industry, we give our people the resources and chances to create significant contributions to the world. **Division** Unity Lab Services, a part of Thermo Fisher Scientific, provides integrated solutions,… more
- Mindex (Rochester, NY)
- …We specialize in agile software development, cloud professional services, and creating our own innovative products. We are proud to be recognized as the #1 Software ... Developer in the 2023 RBJ's Book of Lists and ranked 27th in Rochester Chamber's Top 100 Companies. Additionally, we have maintained our certification as a Great Place to Work for consecutive years in a row. Our list of satisfied clients and #ROCstar employees… more
- Molina Healthcare (Rochester, NY)
- …**Job Summary** Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products ... through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and… more
- Molina Healthcare (NY)
- …Candidates must be based in Florida. **Job Summary** Responsible for reviewing and resolving member & provider complaints and communicating resolution to members (or ... authorized) representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for… more
- Nestle (New York, NY)
- …As a Digital Content Specialist, you will be sitting within our contact center as part of the Center of Excellence B2C Innovation & Optimization Hub. In this role, ... you will implement customer-service focused chatbots, where you will design, author, and manage conversational journeys using NLU/NLP and/or Generative AI models to facilitate seamless communication with customers via text chat. Your responsibilities include… more
- Anywhere Real Estate (Buffalo, NY)
- …Your mission, should you choose to accept it, involves streamlining brokerage operations, making compliance and commission management a breeze, and empowering brokers ... to run their businesses like well-oiled machines. By simplifying transaction workflows, leveraging AI, and enhancing the user experience, you'll help brokers elevate their business to new heights. Are you a master of ambiguity, a champion of 0 to 1 products,… more
- CVS Health (Albany, NY)
- …Leads team of approximately 6 employees and overall scope of 25-30 to develop enterprise-wide solutions (medical cost containment and payment integrity) to address ... business problems, resulting in lower cost of care for clients and members enabling the organization to be competitive in the marketplace and effectively serve its customers. Responsible for the out of network product portfolio, market analysis, creative and… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment ... records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call… more
- Molina Healthcare (Yonkers, NY)
- …**Ideal Candidate** will have excellent critical thinking skills and attention to detail. **Job Summary** Responsible for the strategic development and administration ... of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. **Knowledge/Skills/Abilities** * Performs… more