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Claims Quality Analyst
NEW YORK, NEW YORK, US
...potential candidates. Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities...
Director of Provider Contract Configuration
NEW YORK, NEW YORK, US
...Director of Provider Contract Configuration is responsible for evaluating operation processes and procedures for process improvement of MetroPlus Health Core Applications. Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to...
Auditors
ALBANY, NY, UNITED STATES
Job Title: Auditors Employment Type: Contract Work Hours: 40 hrs./week Work site: 100% OnsiteLocation: Corning Tower, Albany, NY Job Duration: 2 Years...
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Medical Reviewer - Occupational Health & Wellness - Registered Nurse
NEW YORK COUNTY, NY, UNITED STATES
...Duration: 12 months contract, extendable up to 36 months Location: New York, NY First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday Friday)Note: The client has the right-to-hire you as a permanent employee at any time...
Medical Reviewer - Occupational Health & Wellness - Registered Nurse
NEW YORK COUNTY, NY, UNITED STATES
...Duration: 12 months contract, extendable up to 36 months Location: New York, NY First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday Friday)Note: The client has the right-to-hire you as a permanent employee at any time...
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Registered Nurse
ALBANY, NY, UNITED STATES
...approval and pended claims functions for durable medical equipment, private duty nursing, hearing aids, vision care, and dental. The Division also manages the prior approval process for out-of-state nursing home placements, high tech radiology, the Center for Operational Excellence, and the...
Medical Reviewer - Occupational Health & Wellness - Nurse Practitioner/Physicians Assistant
NEW YORK COUNTY, NY, UNITED STATES
...Duration: 12 months contract, extendable up to 36 months Location: New York, NY First 6 months- 5 days onsite, then 4 days/week onsite and 1 day remote) 8:30 AM to 4:30 PM (Monday Friday)Note: The client has the right-to-hire you as a permanent employee at any time...
Registered Nurse
NEW YORK, NEW YORK, US
Job Title: Disability Case Management/Occupational Health Nurse (RN) Location: New York, NY Duration: 12 Months Contract Are you the right candidate for this opportunity Make sure to read the full description below. Position Location/Schedule: Full-Time Contractor Position (First 6 months- 5 days...
Senior Project Manager - Construction (NY)
ROCHESTER, NY, UNITED STATES
...process, FMEA process, contract signing and project start-up. Responsible for ensuring all risks are identified and planned for. Seeks to resolve client issues to avoid legal actions. When needed work with legal teams on dispute resolutions and claims. Assist Teams with training and...
Accountant 1
ALBANY, NY, UNITED STATES
Responsibilities:Monitoring the compliance of federal and state rules and regulations for federal grant awards and assisting with contract closeouts. Track receipt of required documentation and follow-up with internal fiscal staff and providers as necessary.Review provider submitted financial...
ADA Case Specialist
ORISKANY, NY, UNITED STATES
Software Guidance & Assistance, Inc., (SGA), is searching for an ADA Case Specialist for a contract assignment with one of our premier Insurance services clients in Oriskany, NY. Responsibilities : Handle intake calls for FMLA claims and leaves. Determine eligibility for FMLA and...
Quality Control Manager
WEST POINT, NY, UNITED STATES
...ensure compliance with contractual requirements and customer expectations. Essential Duties Directs, supervises and evaluates the work of safety auditors, inspectors or other personnel engaged in the delivery...
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Medical Accounts Receivable Specialist
SUGAR LAND, TEXAS, UNITED STATES
Must have experience with how to read EOB's, follow up on claims, file appeals, be familiar with insurance portals and provide excellent customer service. NOT remote work. MUST be willing to come to our Sugar Land BILLING OFFICE location . Essential Functions: Investigates and follows up on...
Registered Nurse Occupational Health
GRAND RAPIDS, MICHIGAN, UNITED STATES
...within the clinic per contract agreement per contract agreement. Perform clinical duties consistent to their education, certification and competency levels. Responsibilities: Responsible for end-to-end Case Management and oversight for the client site, communication and coordination across...
Senior Airframe Vendor Maintenance Partner
GREENSBORO, NORTH CAROLINA, UNITED STATES
...AS) and vendors contracted to perform maintenance on AS fleet, as well as between AS and manufacturers, leasing companies, and other airlines. This individual contributor position administers contracts between Alaska Airlines and external vendors for heavy scheduled maintenance and...
Service Center Coordinator Sr
WEST PALM BEACH, FLORIDA, UNITED STATES
...experience from contract (proposal) signing through post-delivery. The SCC is responsible for daily follow up with the customer to ensure all customer needs are addressed.Job DescriptionPrinciple Duties and Responsibilities: Essential Functions: Maintains direct contact with...
Customer Project Manager
SPRINGFIELD, ILLINOIS, UNITED STATES
...labor targets and Contract Change Orders (CCO). Identifies potential problems in sufficient time and insure corrective action to be taken. Ensures company's contract commitments are met. Implements project work breakdown structure and coordinates technical activities of project. Makes...
Customer Project Manager
WILLIAMSVILLE, ILLINOIS, UNITED STATES
...labor targets and Contract Change Orders (CCO). Identifies potential problems in sufficient time and insure corrective action to be taken. Ensures company's contract commitments are met. Implements project work breakdown structure and coordinates technical activities of project. Makes...
Automotive Technician / Mechanical Claims Adjuster
SAINT CHARLES, MISSOURI, US
American Auto Shield, the exclusive policy administrator for CarShield, is seeking new talent to join its Mechanical Claims Adjustment team in its growing St. Is this the role you are looking for If so read on for more details, and make sure to apply today. Peters office. Founded in 2002, and...
Claims Examiner
WHITTIER, CALIFORNIA, US
Description: The Position. Is this the role you are looking for If so read on for more details, and make sure to apply today. We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of...
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