- Molina Healthcare (Albany, NY)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives ... on-budget delivery. **Tools/Methods (examples):** Salesforce, QNXT (or similar core claims ), JIRA/Azure DevOps, MS Project /Smartsheet, Visio/Miro/Lucid, SQL,… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... access, design and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and… more
- CVS Health (Albany, NY)
- …evolving needs of our business. The Commercial Claim team handles complex project work that crosses many Aetna Technology domains/applications. A Release Manager ... experienced Engineer to join our Commercial Claim Adjudication team. As a Release Manager , you will contribute to product strategy by: + Leading multiple Agile teams… more
- GE Vernova (Schenectady, NY)
- …document, and track potential contract scope deviations with IPM/Functions; escalate to Project Director/ Project Manager claims requiring customer ... monthly 'schedule deep dives' providing guidance & insights to project and senior management + Ensure ...Escalates critical project issues to the internal project manager and project team.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …associated regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed. Works ... regulatory challenges to the GRL, global regulatory team, assigned project teams, and internal/external functional business units as needed....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- General Dynamics Information Technology (Menands, NY)
- …Language (SQL) **Experience:** 5 + years of related experience **Job Description:** Senior Test Engineer (Manual) Seize your opportunity to make a personal impact ... as a software Test Engineer Senior supporting the New York State Department of Heath...manual testing tools and have knowledge of health care claims processing. We are looking for a qualified candidate… more
- Molina Healthcare (Albany, NY)
- …recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Highmark Health (Albany, NY)
- … project roles, including, but not limited to, Developer, Technical Lead and Project Manager , based upon level of experience. + Effectively communicate with ... complex application development services typically as part of a project team or in an application support role in...6 years of Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.)… more
- Molina Healthcare (Albany, NY)
- …projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Public Consulting Group (Albany, NY)
- …a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join… more