- City of New York (New York, NY)
- …corrective actions for invalid MAP Social Security Numbers to minimize risk of audit disallowances; evaluate Information Technology Services (ITS) computer printouts ... relating to MAP reimbursement claims as well as be assigned to special assignments on MAP as necessary. - Perform quality assurance and Welfare management System… more
- Molina Healthcare (NY)
- …& ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed ... including but not limited to, fee-for service, capitation and various forms of risk , ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related field or… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care models, or healthcare performance metrics + Understanding… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, organizational and business ... of job. + Work environment involves some exposure to hazards or physical risk , which require following basic safety precautions. Benefits We offer a comprehensive… more
- Kyndryl (Albany, NY)
- …on engagements, while enduring profitability and understanding and containing risk **Client Engagement:** + Lead C-level client engagements and consultative ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more
- NBC Universal (New York, NY)
- …applicable employment laws and regulations while promoting consistency, efficiency and risk management + Lead and collaborate with multiple stakeholders to drive ... investigations of employment-related and other types of complaints, ensuring that claims are promptly and thoroughly investigated and documented appropriately +… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at ... Manufacturing, and Food Distribution outlets, etc). + Conducts ongoing risk assessments, develops corrective actions and monitors implementation, efficacy, and… more
- MTA (Jamaica, NY)
- …support and coordinate with other MTA and agency departments, including MTA Risk Management, in connection with insurance requirements under the various contracts, ... advice and support to various departments in the defense and resolution of claims arising under various agreements, including but not limited to the Penn Station… more
- SUNY Westchester Community College (Yonkers, NY)
- …medical biller/customer service representative, medical records clerk/assistant, and insurance claims clerk. The incumbent will also: + Prepare and update ... also required. PREFERRED QUALIFICATIONS: Experience teaching adult learners and at- risk populations strongly preferred. Highly organized and detail-oriented candidates… more
- Wolters Kluwer (New York, NY)
- …matters that are raised internally, EEOC and DOL charges, state agency claims , hotline complaints. In collaboration with the Global Compliance & Legal Department ... policy/process development or modification, manager and employee training, and other risk mitigation and compliance opportunities. + Develop and maintain employee… more