- Molina Healthcare (Buffalo, 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
- Molina Healthcare (Buffalo, 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
- New York State Civil Service (Buffalo, NY)
- …State Title Assistant Attorney 1/ Assistant Attorney 2/ Assistant Attorney 3 / Senior Attorney - Appeals (NY HELPS) Occupational Category Legal Salary Grade NS ... law, and case documents* Communicate, discuss, and explain to Claims Department staff the basis for rejections of appeal...in the assignment of cases when the Appeals Unit Manager is absent for extended periods* Assist the Legal… more
- Independent Health (Buffalo, NY)
- …Respectful, Trustworthy, Collaborative, and Accountable. **Essential Accountabilities** + Assume role of project manager as it relates to the re-engineering of ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding and clinical decisions on… more
- Molina Healthcare (Buffalo, 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