• Appeals Manager

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role The Appeals Manager is responsible managing Appeal Supervisors and identifying opportunities for enhancements and changes to workflows to increase ... + Effectively manage Appeal Supervisors, providing full-time support to appeals , internal departments, vendors, and customers. + Demonstrate strong leadership… more
    Brighton Health Plan Solutions, LLC (05/30/24)
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  • Field Reimbursement Manager Immunology…

    J&J Family of Companies (New York, NY)
    Field Reimbursement Manager Immunology - Dermatology - Manhattan - 2406196146W **Description** **Field Reimbursement Manager Immunology - Dermatology - Manhattan ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is committed to setting the… more
    J&J Family of Companies (06/30/24)
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  • Fraud Investigations & Operations Manager

    Amazon (Newark, NJ)
    …your future with us. ABOUT THIS ROLE As the Fraud Investigations & Operations Manager for the Audible Business Assurance & Fraud Prevention (BAFP) team, you will ... time sensitive deadlines. As a Fraud Investigations & Operations Manager , you will - Manage and triage fraud investigation...as the point of escalation for fraud related termination appeals for second tier investigations, and work with Legal… more
    Amazon (06/30/24)
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  • Senior Construction Project Manager

    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
    City of New York (05/08/24)
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  • Senior Manager Talent Assessment

    MTA (New York, NY)
    Senior Manager Talent Assessment Job ID: 7896 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Workforce ... Testing Date Posted: Jul 1, 2024 Description JOB TITLE : Senior Manager , Talent Assessment SALARY RANGE : $100,000 to $108,003 HAY POINTS : 634 DEPT/DIV: PEOPLE… more
    MTA (07/01/24)
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  • FTC Manager

    City of New York (New York, NY)
    …youth, and youth reunifying with families. The Family Team Conferencing (FTC) Manager will: - Develop, implement, and evaluate operational procedures and policies ... family service needs and outcomes. - Make determination outcomes on reviews and appeals in which consensus cannot be achieved. - Attend and co-chair advisory board… more
    City of New York (06/27/24)
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  • Contract Development Manager

    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
    City of New York (05/15/24)
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  • Senior Marketing Manager , North America

    Steer (New York, NY)
    …and Canadian business. To do this, we are seeking a dynamic Senior Marketing Manager to spearhead our marketing initiatives across the regions. You'll be pivotal in ... practices, and coordinate efforts to achieve a unified marketing approach that appeals to diverse audiences. + Strategic Alignment with Business Goals: Regularly… more
    Steer (05/12/24)
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  • Senior Manager , Incentive Compensation

    Mitsubishi Chemical Group (Jersey City, NJ)
    …evidence, and creating hope for all facing illness. The Senior Manager , Incentive Compensation is responsible for planning, developing, and implementing fair ... specific field performance issues related to IC; review and manage adjustments, appeals and impact analyses across systems and reports, offering training and support… more
    Mitsubishi Chemical Group (05/10/24)
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  • Sr Utilization Review Spec- Physician FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …Medical Staff supporting Utilization Management Committee processes d. Hospital Based Appeals Management e. Provides guidance and interpretation on issues of medical ... documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate...reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii. Recovery… more
    Hackensack Meridian Health (05/07/24)
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  • City Assessor Hearing Officer Deputy Director

    City of New York (New York, NY)
    …JOB DESCRIPTION - Assist the President of the Office of Administrative Tax appeals in all managerial and administrative business. - Assist the IT Director in ... providing the computer products for The Office of Administrative Appeals . - Supervise and manage Appraisal and Hearings Unit...of real property such as assessor, appraiser, valuation data manager , real property appraisal aide or the like. To… more
    City of New York (05/15/24)
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  • Supervisor Care Management - Utilization Review…

    Hackensack Meridian Health (Hackensack, NJ)
    …case management process, including LOS, throughput, patient flow and denials and appeals follow up. i. Responsible for staff productivity and ongoing education. j. ... disciplinary action and performance improvement plans when appropriate in conjunction with Manager of Case Management. **Responsibilities** A day in the life of… more
    Hackensack Meridian Health (06/06/24)
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  • Email Communications & Database Specialist…

    CUNY (New York, NY)
    …and updating addresses and emails in the database. - Work with database manager on creating donor/constituents reports and building reporting templates. - Work with ... database manager on merging wealth screening data with appropriate constituents...the roll-out of email engagement campaigns and direct solicit appeals during the spring and fall solicitation cycles. -… more
    CUNY (06/22/24)
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  • Assistant Deputy Commissioner, Office Of Business…

    City of New York (New York, NY)
    Job Description CANDIDATES MUST BE PERMANENT IN THE COMPUTER SYSTEMS MANAGER CIVIL SERVICE TITLE. Customized Assistance Services (CAS) helps Human Resources ... helping clients apply for those benefits, and in filing appeals for applications that were denied for medical reasons....(CAS) is seeking to recruit one (1) Computer Systems Manager IV to function as an Assistant Deputy Commissioner… more
    City of New York (04/30/24)
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  • Insurance Follow-up Representative

    Catholic Health Services (Melville, NY)
    …Job Details Under the direction of the Physician Revenue Realization Manager , the Insurance Follow-Up Representative is responsible for investigating claims status ... practice location. Under the direction of the Physician Revenue Realization Manager , the Insurance Follow-Up Representative is responsible for investigating claims… more
    Catholic Health Services (05/16/24)
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  • GPS Oracle Referral Campaign - FY25

    Deloitte (New York, NY)
    …Please feel free to attach your referrals of Consultant, Sr Consultant or Manager level professionals with any of the above mentioned Oracle module experience to ... work objectives * Demonstrated ability to write clearly, succinctly, and in a manner that appeals to a wide audience The wage range for this role takes into account… more
    Deloitte (06/15/24)
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  • Associate Director, Annual Giving

    Children's Aid (Manhattan, NY)
    …individual giving strategies that currently include digital fundraising, annual appeals , and cultivation events. We seek a high-energy, entrepreneurial, ... Display transparency about research, calls, meetings, activities, and all work with manager and team * Dependability and good organizational skills * Motivation, the… more
    Children's Aid (06/13/24)
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  • Accounts Receivable Representative

    HSS (New York, NY)
    …+ Denial Management to include payer denials and denial solutions. + Submitting appeals to carriers for reasons such as medical necessity and bundling + Credit ... other related duties as required. SUPERVISION RECIEVED: + Reports to A/R Manager . Qualifications REQUIRED KNOWLEDGE, CERTIFICATION / LICENSURE: + Computer skills and… more
    HSS (06/01/24)
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  • Spanish Interpreter

    City of New York (New York, NY)
    …to Re-open Defaults, Removal of Permanent Exclusion and Blatch), Grievance, Applicant Appeals and Trespass cases and Guardian Ad Litem (GAL) matters. In essence, ... ten (10) employees and provide weekly and monthly Kronos reports to the Office Manager in the absence of the OIH timekeeper. - Prepare daily and monthly statistical… more
    City of New York (05/24/24)
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  • Compliance Specialist

    Shinda Management Corporation (Queens Village, NY)
    …and applications, including remarketing assessments, interviewing applicants, and processing appeals + Process tenant rental payments, Housing Assistance Payments ... from the Human Resources department, which will be reviewed by the Human Resource Manager . You may be required to substantiate their request for exemption with the… more
    Shinda Management Corporation (06/27/24)
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