- Molina Healthcare (Syracuse, NY)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Syracuse, NY)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Syracuse, NY)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Syracuse, NY)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- Signet Jewelers (Waterloo, NY)
- …rewarding opportunities to impact the lives of others and inspire love. Join us! STORE MANAGER Title: Store Manager Reports To: District Manager Reporting to ... and Inventory Control Position Summary: Reporting to the District Manager (DM), the Store Manager (SM) will...of professionalism to customers and team members by displaying integrity and honesty at all times, and by conducting… more
- Curtiss-Wright Corporation (Lansing, NY)
- **Materials Testing Manager ** We are looking for a Materials Testing Manager to join our IMR Test Labs Lansing, NY team! As our Materials Testing Manager , ... and Wellness Benefits **I** Learning and Development Opportunities **I** Referral Program **I** Competitive Pay **I** Recognition **I** Employee Stock Purchase Plan… more
- Molina Healthcare (Syracuse, NY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- NBT Bank (Norwich, NY)
- …a fast-paced, high-volume environment to support and assist the Fraud Risk Manager along with providing guidance to the Fraud Investigators. Education and ... 60% Researches and analyzes high risk transactions across all payment channels with a sense of urgency in a...to minimize losses, protect our customers and safeguard the integrity of our products. + 10% Proactively reviews existing… more
- Trinity Health (Syracuse, NY)
- …or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills ... CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager Original: January, 2011 Revised: August 2011 Revised: April 2012 General… more
- Trinity Health (Syracuse, NY)
- …or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills ... CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager Original: January, 2011 Revised: August 2011 Revised: April 2012 General… more