- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
- Catholic Health Services (Melville, NY)
- …named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... and/or escalates denial when appropriate. Submits all (initial and/or appeals ) reviews and/or letters within contractual or regulatory timeframes. Collaborates… more
- Mount Sinai Health System (New York, NY)
- …issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of...hospital/healthcare environment is required. Advanced knowledge of Epic, Contract Manager , and Microsoft Excel Working knowledge of other Microsoft… more
- Molina Healthcare (Yonkers, NY)
- …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and ... * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing... and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical… more
- Mount Sinai Health System (New York, NY)
- …to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social… more
- CUNY (Brooklyn, NY)
- Manager of Student Advocacy and Accountability (HEA) **POSITION DETAILS** New York City College of Technology of the City University of New York (CUNY), a ... Brooklyn offering associate and baccalaureate degrees, invites applications for a Manager of Student Advocacy and Accountability. Reporting to the Vice President… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager Inpatient Mount Sinai West FT Days 8a-4p EOW (Holiday Rotation)** The Case Manager (CM) will be responsible for all aspects ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the payor, as… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE CONSTRUCTION PROJECT MANAGER CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Operations, Bureau of Construction Management is recruiting for one (1) Construction Project Manager II to function as a Senior Construction Project Manager , who… more
- Tutor Perini (New York, NY)
- …now or in the future Frontier-Kemper-Tutor Perini joint venture is seeking a **Safety Manager ** to join our Manhattan Tunnel Project in New York, New York. **About ... facility. **_Extraordinary Projects Need Exceptional Talent_** As a **Safety Manager ** at Frontier-Kemper-Tutor Perini joint venture, reporting to the **Safety… more
- The Nightingale-Bamford School (New York, NY)
- ANNUAL GIVING MANAGER The Nightingale-Bamford School is seeking candidates for the position of annual giving manager to join the school's advancement team. The ... Fund. Reporting to the assistant director of institutional advancement, the annual giving manager will advance the continued growth of the Nightingale Fund, with a… more
- MTA (Jamaica, NY)
- Senior Manager , Labor Relations & Arbitration Job ID: 11392 Business Unit: MTA Headquarters Location: Jamaica, NY, United States Regular/Temporary: Regular ... Date Posted: Jul 8, 2025 Description POSTING NO. 11392 JOB TITLE: Senior Manager , Labor Relations & Arbitration DEPT/DIV: Labor Relations WORK LOCATION: Jamaica, NY… more
- CUNY (Bronx, NY)
- Associate Director of Compliance and Operations (Financial Aid Manager ) **POSITION DETAILS** The City University of New York (CUNY), the nation's largest public ... aspects of financial aid, from application and award to disbursements, appeals (including special circumstances, professional judgments). + Develops and implements a… more
- City of New York (New York, NY)
- …THE CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. The Human Capital Manager will oversee labor relations, disciplinary processes, and talent management initiatives ... conducting related training sessions. - Serve as hearing officer for disciplinary appeals , draft decisions, stipulations, and prepare research for Step I, Step II,… more
- City of New York (New York, NY)
- …Division of Emergency Housing Services (EHS). Your Impact: As the Case Manager /Community Coordinator for the Division of Emergency Housing Services, you will assist ... - Document hearing outcomes including program re-instatement, termination and shelter exit, appeals and Article 78 cases. Preferred skills - Minimum 2 years of… more
- City of New York (New York, NY)
- …to treatment and application assistance with the federal disability application and appeals processes as appropriate. Under the general direction of the Director of ... for one (1) Administrative Contract Specialist, NMI to serve as a Contract Development Manager in CAS' Office of Contract, Finance & Management Planning, who will: -… more
- Catholic Health Services (Melville, NY)
- …Under the supervision of the Director of Patient Financial Services, the Manager is primarily responsible for overseeing, coordinating, managing, and evaluating the ... related to insurance and patient billing, follow up, credits, denials and appeals . Monitors staff adherence to department processes and addresses issues through… more
- Mount Sinai Health System (New York, NY)
- …Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . **Qualifications** + Associates Degree preferred + ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee… more
- Amazon (New York, NY)
- …communications - Serve as the point of escalation for fraud related termination appeals for second tier investigations, and work with Legal partners in handling ... those appeals appropriately - Create and maintain fraud investigations and...operations, work with the Audible Fraud Defense program product manager on creating and implementing the fraud defense roadmap… more
- Molina Healthcare (Yonkers, NY)
- …The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will ... Ensures Molina is compliant with the coverage determination and appeals process. + Contributes to projects aimed at improving...the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical… more