- Molina Healthcare (Albany, NY)
- …audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of ... claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ ) *… more
- City of New York (New York, NY)
- …Intervention Unit and Queens Unit, as well as directly negotiating matters to resolution ; - updating Law Manager and the on-line Intake database; and - performing ... other litigation tasks as required. After the completion of orientation, attorneys hired by the Law Department will have the opportunity to elect to work from home under one of the following two programs. The first option allows attorneys to work remotely on a… more
- SitusAMC (Albany, NY)
- …to work as a team player + Pro-active approach to problem recognition and resolution \#LI-MS1 Note: This job description is not intended to be all inclusive or ... exclusive. At any time, employees may perform other related duties as required to meet the ongoing needs of the organization and participate in additional trainings. SitusAMC does not accept unsolicited resumes from staffing agencies, search firms or any third… more
- TEKsystems (Buffalo, NY)
- …correct way * Ability to quickly assess member concerns and formulate a response/ resolution using analytical and problem solving skills * Ability to work in a ... structured environment - adhere to posted work schedule and breaks/lunches, following protocols * High level attention to detail, multi-tasking, and ability to organize work * Experience using Microsoft Office with a strong ability to juggle multiple open… more
- Siemens Energy (Olean, NY)
- …or alternatives.** + **Liaise with vendors for software implementation and resolution of adaptation issues.** + **Provide production support, perform software ... upgrades, and train end users on new or modified programs.** **What You Bring** + **Bachelor's degree in computer science or information systems with 3 years of experience in Software development across all phases of the SDLC.** + **Strong communication and… more
- CVS Health (Albany, NY)
- …including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members. + Computer ... literacy to navigate through internal/ external computer systems. + Ability to effectively participate in multi-disciplinary team including internal and external participants. Familiarity with basic medical terminology. Effective communication, telephonic, and… more
- Cognizant (Albany, NY)
- …+ Troubleshoot minor technical issues or coordinate with support teams for resolution . **Strategy & Enablement** + Lead and contribute to team initiatives aimed ... at refining sales processes and workflows. + Develop and document best practices for partner engagement and sales execution. + Analyze data trends, market dynamics, and customer performance to identify growth opportunities. + Collaborate with account managers… more
- Trinity Health (Syracuse, NY)
- …Supervisor helps to identify problems, offers solutions, and participates in their resolution . A candidate for this role should be comfortable providing patient ... care, managing staff, making decisions independently, and assuming managerial duties as necessary. Unit D5 is a cardiovascular step-down unit caring for patients admitted for interventional cardiac procedures, medical cardiology, vascular surgery and the… more
- Datavant (Albany, NY)
- …via telephone, email or written correspondence. + Document all calls, inquiries and resolution in detail in appropriate areas of our software systems. + Follow all ... department and/or site specific processes and procedures accordingly. + Meet and maintain the department's productivity and quality assurance expectations. + Responsible for following all company policies and procedures as posted or communicated by management.… more
- Cognizant (Albany, NY)
- …practice of servant leadership, facilitation, situational awareness, conflict resolution , continual improvement, empowerment, and increasing transparency. Excellent ... knowledge of Agile techniques and artifacts (such as definition of done, user stories, automated testing, backlog refinement) Solid Jira and Confluence Experience Certified Scrum Master (CSM or alike) and/or SAFe certified Experience with and/or understanding… more