- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Mount Sinai Health System (New York, NY)
- …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status ... + Requests or provides Medical Records as required for appeals , On / Off-site Insurance reviews + Implements.../ Off-site Insurance reviews + Implements first step of appeals process to assist Appeals Nurse and… 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
- Elevance Health (New York, NY)
- **Behavioral Health Medical Director-Psychiatrist Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required ... Saturday rotation, once a month.** The **Behavioral Health Medical Director-Psychiatrist Appeals ** is responsible for the administration of behavioral health medical… 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 PT 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
- J&J Family of Companies (New York, NY)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Bay Shore, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York Metro** **What you will do** Let's do this. Let's ... change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more
- City of New York (New York, NY)
- …hearings by mail, web, and mobile app. In addition, the judges hear appeals of parking ticket determinations, and a special unit for Commercial Adjudications ... conducts hearings and appeals on tickets issued to commercial vehicles. The Customer...Analyst (Non-Managerial Level 2) to serve as the Operations Manager for the STARS Modernization Project. The selected candidate… 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
- 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
- City of New York (New York, NY)
- …- Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract ... or encapsulation of lead contained in or on any surface. CONSTRUCTION PROJECT MANAGER - 34202 Qualifications 1. A four-year high school diploma or its educational… more
- Elevance Health (Morristown, NJ)
- ** Manager , Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... required by law. Alternate locations may be considered. The ** Manager , Medical Director** will serve as a clinical and...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- Adecco US, Inc. (New York, NY)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Must reside in NYC **Travel:** Up to 80% (4 days/week) via ... automobile or air **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… 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
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary The Title IX Program Manager facilitates logistical and administrative aspects of the University's Title IX process for responding to and resolving ... Stalking Policy, as well as post hearing aspects of the process (eg appeals ). Guide and educate parties and witnesses participating in the processes. Identify… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment **Key Qualifications:** + Current NYS ... Registered Nurse License/Registration and BSN preferred + At least 2-3 years of clinical hospital nursing experience + Managed care/UR/CM experience strongly preferred + Knowledge of state and federal regulations that govern health insurance coverage +… more
- Citigroup (New York, NY)
- …to facilitate loan closings, including pipeline management, loan escalations / appeals and advocacy, application quality and pricing issues. + Strictly adhere ... to internal control policies such as the account opening and credit protocols of accurate collection, completion and updating of all required documentation. + Appropriately assess risk when business decisions are made, demonstrating particular consideration… more
- Federal Reserve Bank (Newark, NJ)
- …(CFPB) payroll and HR groups on plan interpretations, participant inquiries and appeals and payroll matters impacting the benefits plans. Accountable for the ... day-to-day operations and administration of one or more of the System's retirement and executive benefits plans. Provide guidance in addressing benefits related issues and interpret applicable plan provisions, legislation, and regulations pertaining to the… 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