- Walmart (Middle Island, NY)
- …are aligned with company and regulatory standards for prescriptions and claims doctor and optician certificationslicensure and associate training Guides associates ... intervention steps to improve team knowledge and focus on patient safety and risk reduction Promotes reporting and transparency of errors whether actual or patient… more
- New York State Civil Service (Albany, NY)
- …in CLS.* Process and complete preliminary review of Unreasonably Impracticable claims coming into municipal inbox.* Respond to requests if additional information ... included evaluating whether projects met/are meeting requirements that included risk assessment; providing professional level economic development products or… more
- Catholic Health (Buffalo, NY)
- …include units such as Intensive Care, Emergency, Oncology, anti-partum at risk and neo-natal intensive care. Pastoral Ministers receive referrals, complete ... moral, ethical and social expectations placed on the health care provider who claims a Catholic identity + Well-formed in Catholic tradition, knowledge of Catholic… more
- GE Vernova (Schenectady, NY)
- …assess for trends to support service actions, etc.) + Build and track claims for assigned commodities and/or failure type using recovery workflow process + Identify ... business processes/requirements + Ability to identify, communicate, and manage risk + Demonstrates sound analytical judgment, dependability, and accountabilityBuilds… more
- Walmart (East Syracuse, NY)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... intervention steps to improve team knowledge and focus on patient safety and risk reduction. Promotes reporting and transparency of errors whether actual or patient… more
- Molina Healthcare (Syracuse, NY)
- …Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- Molina Healthcare (NY)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... including expected and actual revenues/volumes, past performance, proposed contract language, risk adjustment and regulatory changes To all current Molina employees:… more
- TEG Federal Credit Union (Poughkeepsie, NY)
- …We are looking for a Collections Administrator to join our Collections & Risk Mitigation Department in Poughkeepsie, NY. This role is a blend of collections ... recommend workout solutions, and assist with hardship considerations. Process claims for GAP, VSI, life, disability, and involuntary unemployment insurance.… more
- Molina Healthcare (Albany, NY)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... but not limited to; fee-for service, capitation, and various forms of risk , ASO, etc. **Preferred Education** Bachelor's or master's degree. **Preferred Experience**… more
- City of New York (New York, NY)
- …Summary: The Bureau of Audit Services plays a leading role in risk -based assessments of the Department's systems, networks and endpoint controls; the department's ... Perform/review 100% of all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review (where applicable) within… more