- BronxCare Health System (Bronx, NY)
- …and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation ... of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and… more
- Centene Corporation (New York, NY)
- …of recommendations to providers that would improve utilization and health care quality . + Reviews claims involving complex, controversial, or unusual or ... a leading provider of government-sponsored healthcare coverage, providing access to affordable, high- quality services to Medicaid and Medicare members, as well as to… more
- Ankura (New York, NY)
- …(eg, Strategic Cost Management, Organizational Design, Process Improvement / Automation) and Risk , Compliance, and Controls (eg, Risk /Compliance Program Design & ... enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and… more
- Ankura (New York, NY)
- …(eg, Strategic Cost Management, Organizational Design, Process Improvement / Automation) and Risk , Compliance, and Controls (eg, Risk /Compliance Program Design & ... enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and… more
- Bank of America (New York, NY)
- …Loans, Bonds, Equities, CDS, Interest Rate Swaps, Aviation Leases and Trade Claims . Key priorities for our team include proactive execution of controls, accurate ... of Business (LOB) using knowledge of financial products, market risk profiles, and risk mitigation techniques and...Reporting + Business Analytics + Critical Thinking + Data Quality Management + Financial Processing + Price Verification and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …* Identify improvement opportunities (proactive and reactive). Continually strive to improve quality by identifying areas of potential risk and recommending ... law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business… more
- New York State Civil Service (Albany, NY)
- …processing and review of 30-day extension requests, Unreasonably Impracticable Claims , Public Convenience and Advantage requests and distance requirement ... processing and review of 30-day extension requests, Unreasonably Impracticable Claims , Public Convenience and Advantage requests and distance requirement… more
- Compass Group, North America (Brooklyn, NY)
- …health and safety and sanitation champion who is focused on people and quality standards. Detailed Responsibilities + * Coaching operational leaders to ensure a ... Take the lead in working with the Home Office Risk Management team in responding to or managing any...team in responding to or managing any safety and claims issues* Working with operations and culinary teams to… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …of strategic projects that span organizational boundaries, manages multiple high- risk projects, including projects involving external vendors and multiple business ... more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal… more
- BronxCare Health System (Bronx, NY)
- …and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation ... Luther King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and… more