- Molina Healthcare (Rochester, NY)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. + Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding, for example. +...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Brink's (Syracuse, NY)
- …Leverage systems, equipment and process redesign to drive continuous improvement in cost, quality and efficiency + Maintain and provide quality customer service ... controls and ensuring strict compliance with security procedures; proactively reduce risk exposure and ensure implementation of measures to reduce worker's… more
- Molina Healthcare (New York, NY)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. * Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- CS Energy (Buffalo, NY)
- …alongside our employees, and oversee the construction of safe, high quality , profitable, and on schedule renewable projects. Essential Duties and Responsibilities ... by example and drives a culture of Safety & Quality as a core value across project teams. +...teams + Monitor and ensure portfolio level cash flow, risk assessment and mitigation + Subject matter expert to… more
- Molina Healthcare (NY)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. * Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Parsons Corporation (New York, NY)
- …to ensure proper contract administration, payments certification, variations administration and claims management. + Proactive approach to risk identification ... societies to keep abreast of relevant contractual issues. + Draft high quality and professional contractual notices + Performs other responsibilities associated with… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... on utilization, outcomes, and cost drivers across the organization. * Ensure data quality , governance, and documentation standards are met in all analytics work. *… more
- MTA (New York, NY)
- …Analyst - Has proven experience in data compilation, detail checking, and quality assurance of all project control activities (cost estimating, cost control, ... scheduling, and risk management). Responsibilities Reviews/backchecks Project Controls Analyst work related to estimates, schedules, change orders, claims , time… more
- EFI Global (Albany, NY)
- …and environmental services teams around the world share a dedication to expertise, quality and demonstrating to customers that caring counts(R). Each of our more ... **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional… more
- Highmark Health (Albany, NY)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more