- Fujifilm (Albany, NY)
- …and handle a large volume of contracts, to ensure agreements mitigate legal risk and support business objectives. + Advise, counsel and report to Division General ... respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements, antitrust… more
- Northwell Health (Great Neck, NY)
- …records on prescriptions and inventory, and prepares labels. + Processes insurance claims and provide detailed prescription receipts. + Resolves problems related to ... self-imposed manufacturer restrictions on particular drugs, as applicable including Risk Evaluation and Mitigation Strategy programs and manufacturer limited… more
- UNUM (Albany, NY)
- …(eg Global Services (IT), members of the sales organization, administration, marketing, claims and underwriting) in ensuring the design and development of our ... ability to understand and balance distribution needs and considerations with risk management considerations to achieve desired objectives. + Strong customer focus,… more
- 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