- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our ... to, Provider Relations, Claims, Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures… more
- 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
- New York State Civil Service (New York, NY)
- …by the Workers' Compensation Law;* Assisting in the assignment of cases when the Appeals Unit Manager is absent for extended periods;* Assisting the Legal ... Attorney 2/ Assistant Attorney 3 / Senior Attorney - Appeals (NY HELPS) Occupational Category Legal Salary Grade NS...requests;* Preparing and timely filing clearly written and persuasive appeals , rebuttals, and memos of law with reference to… more
- Mount Sinai Health System (New York, NY)
- …to Case Managers and other hospital personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and ... pursuing appeals opportunities with payors and networks, and reporting performance...and analyzes data in our contract compliance tool (Contract Manager ), EPIC, and payor policy detail for identified payment… more
- Mount Sinai Health System (New York, NY)
- …and other operational details. This individual typically reports to a manager , director or division head. **Qualifications** + Associates Degree in Secretarial ... 2-3 years administrative or medical office experience required , 416 - HSO Appeals Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Serves as an… more
- Animal Care Centers of NYC (New York, NY)
- Senior Manager , Individual Giving Who We Are ACC is one of the nation's largest open-admission animal shelters whose mission is to End Animal Homelessness in NYC. We ... New York City. Summary ACC is seeking a Senior Manager , Individual Giving who will play a key role...and digital campaigns, segmenting donor lists, and executing targeted appeals , with an immediate emphasis on targeted appeals… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT 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 + Communicates clinical information to the payor, as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the payor, as… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and ... basis and identify the expected length of stay (ELOS). The case manager works collaboratively with physicians, social workers, clinical nurses, home care services,… more
- KPMG (New York, NY)
- **Business Title:** Manager , WNT- Tax Controversy & Dispute Resolution Services **Requisition Number:** 119153 - 68 **Function:** Tax Services **Area of Interest:** ... and what we stand for as a firm. KPMG is currently seeking a Manager to join our Washington National Tax (WNT) practice. Responsibilities: + Represent clients at… more
- Deloitte (New York, NY)
- …practice with a focus on Federal Tax Controversy! Work you'll do As a Manager within Deloitte's National Tax Controversy Services practice, you will be part of an ... worked, for example, at the IRS and Treasury as executives, counsel, appeals officers, and revenue agents. Responsibilities will include: + Pre-examination audit… more
- IQVIA (New York, NY)
- **S** **r Care Manager ** As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams ... Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Sr Care Manager Responsibilities will vary by program and its lifecycle. Sr Care Manager… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a ... and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and coordinate the… more
- International Rescue Committee (New York, NY)
- Requisition ID: req55705 Job Title: Development Operations Manager Sector: Community Development Employment Category: Regular Employment Type: Full-Time ... support RAI-US grants, development, and volunteer management staff. The Development Operations Manager will work to enhance the quality and compliance of business… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The Manager , Regional Team Member Relations reports to the Dir, TM Relations and participates ... of enhancing our overall TM experience. + Serves as the next step for appeals of dispute resolution matters. Supports and collaborates with the Dir, Labor Relations… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …note, this link is only accessible for MSK employees. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at MSK:Are you passionate about ... + Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment Key Qualifications: + Current NYS… more
- 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 (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