- Healthfirst (NY)
- …for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case summary, contract information, ... with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated understanding of Utilization… more
- Veterans Affairs, Veterans Health Administration (Northport, NY)
- …administration); however, completed work may require routine or detailed higher level review depending upon the complexity of the duties involved. GS-4 Employees may ... practices or procedures may be subject to closer higher-level review . GS-6 (a) Completion of at least one (1)...patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO)… more
- American Express (New York, NY)
- …a brand consultant, expert, and steward of the American Express brand. + Review high-visibility marketing assets to ensure compliance with the global brand standard. ... agencies on the Amex brand and guidelines. + Continuously review and innovate on the existing marketing review... review and innovate on the existing marketing review processes, tools, and resources to help drive efficiency,… more
- Actalent (New York, NY)
- …monitoring, and implementation of the JDE Quantity Book. + Draft and review project-related communications, including letters and notices. + Assess impacts of owner ... notices and document them for project team review . + Develop and manage contract provisions with subcontractor terms and conditions. + Maintain PCO tracking and… more
- American Express (New York, NY)
- …remediation where required. + Conductthe Compliance Risk Assessment, which includes the review of applicable risks, assessment of the strength of the control ... environment, communication of results to business partners, and review of action plans to close identified gaps. +...line of defense testing and enhancement of existing tests. Review and approve quarterly first line of defense test… more
- New York State Civil Service (Middletown, NY)
- …and therapeutic programs, and serves on committees such as placement, utilization review , medical records review , and related committees, as required.May prepare ... Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting salary for… more
- New York State Civil Service (New York, NY)
- …include but are not limited to, the following:* Overseeing the expert review and substantive analysis of project siting application materials for electric generation ... section and managing the most technically complex aspects of siting application review and compliance enforcement work; reviewing aspects of siting applications and… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …to perform each essential duty satisfactorily: Essential Duties and Responsibilities: + Review health center, nursing home and hospital encounters and completes for ... accurate coding and charge entry + Review all encounters for accurate coding and enters charges...and employees as needed to accurately complete encounters and review patient charges + Responsible for Hold Buckets on… more
- New York State Civil Service (Albany, NY)
- …analyses, documenting current, expected, and required resources for management review /approval. * Draft correspondence, policy, white papers, standards, bulletins, ... of project plans, deliverables, and detailed analysis for executive review . * Review and analyze local government domestic terrorism prevention plans. *… more
- Citigroup (Getzville, NY)
- …policy gaps and formulating policies that streamline related work processes + Review and analyze hedge fund activities, procedures to reconcile cash/holdings and ... Degree/University degree or equivalent experience This job description provides a high-level review of the types of work performed. Other job-related duties may be… more