- Trinity Health (Syracuse, NY)
- …+ Posting **MISSION STATEMENT:** We are passionate healers dedicated to honoring the Sacred in our sisters and brothers. **VISION:** To be world-renowned for ... passionate patient care and outstanding clinical outcomes. **CORE VALUES:** In the spirit of good _Stewardship,_ we heal by practicing: _Compassion_ through our kindness, concern and genuine caring, _Reverence_ inhonoring the dignity of the human spirit,… more
- Molina Healthcare (Buffalo, 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 (Syracuse, NY)
- …**Job Summary** Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical ... analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their… more
- Mount Sinai Health System (New York, NY)
- …Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for ... the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. **Qualifications** **Education Requirements** Coding certificate, CCA.… more
- UNUM (Albany, NY)
- …+ Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions + Partner/consult with fellow ... When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical ... analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their… more
- Cognizant (Albany, NY)
- …: + Review claim system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically ... Cognizant is one of the world's leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. We are looking to expand our team. Do you… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various ... departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve… more
- Molina Healthcare (NY)
- …**Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives ... including all lines of business (Medicare, Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity… more
- Cengage Group (New York, NY)
- …experience, internal equity, and geographic location. Sales roles often incorporate a significant incentive compensation program beyond this base pay range. ... $101,900.00 - $115,200.00 USD **Cengage Group** , a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready. For… more