- VNS Health (Manhattan, NY)
- …strategies to reduce claim errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established ... Experience: + Minimum of 5 years of experience in healthcare claims processing, payment integrity , or related field required + Proven leadership and team… more
- City of New York (New York, NY)
- …Revenue, and Enforcement Administration (IREA) is responsible for supporting the integrity of social services programs administered by the New York City ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...Principal Administrative Associate III to function as an Assistant Manager who will: - Directly and indirectly supervise staff… more
- Molina Healthcare (Buffalo, NY)
- Molina Healthcare is hiring for a **Program Manager - Payment Integrity /Prepayment Solutions Implementation.** This role is remote and can be worked from states ... will have the following experience-** + Knowledge of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions.… more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Manager -Pharmacy Operations will manage teams and resources dedicated to ... system administration and reporting, vendor delegation oversight, medical pharmacy claims processing and training. They will establish and monitor performance… more
- VNS Health (Manhattan, NY)
- …is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in ... Relations, Claims , Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures the accuracy… more
- MTA (Queens, NY)
- Senior Manager -M of E Manpower Resource Management Job ID: 11655 Business Unit: Long Island Rail Road Location: Queens, NY, United States Regular/Temporary: Regular ... Payroll Date Posted: May 2, 2025 Description Title: Senior Manager , M of E Manpower Resource Management Department: M...Random Drug & Alcohol testing. Liaison with Medical and Claims Departments. + Direct and oversee the management of… more
- Healthfirst (NY)
- …of members. + Monitor ,report, and deliver updates on memberships, data integrity and address discrepancies related to member eligibility and enrollment. + Manage ... that do not have the measurements required to assess the health of the operations . + Partner with Process Managers and Process Leads to assess, evaluate, and promote… more
- Sumitomo Pharma (Albany, NY)
- …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... seeking a dynamic, highly motivated, experienced individual for the position of **Senior Manager of Biostatistics** to serve as lead statistician for one or more… more
- BJs Wholesale Club (Oneonta, NY)
- …We strive for flawless execution and hold ourselves accountable. + Act with honesty and integrity and lead with the member in mind to address all concerns and to ... with CoE (Center of Excellence) and sets up 2nd interviews for Club Manager /Assistant Club Manager . + Conducts new Team Member orientation. Facilitates and… more
- CS Energy (Albany, NY)
- The Senior Project Manager works alongside Project Operations and Field Management to foster great client relationships, work effectively alongside our ... avoid legal actions. When needed work with legal teams on dispute resolutions and claims . + Assist Teams with training and development activities. + Hire and Train… more