- Reed Smith LLP (New York, NY)
- …relationships and collaborative structure make us the go-to partner for complex disputes , transactions and regulatory matters. Our team of 3,000 people (including ... demonstrative materials, and managing offsite war room spaces as needed. Ensure compliance with court procedures and arbitration rules, such as formatting and trial… more
- Ankura (New York, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (New York, NY)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Intermountain Health (Trenton, NJ)
- …+ Responsible for the accurate and timely submission of reconsiderations and disputes . + Responsible for maintaining work queues at acceptable ageing, by updating ... system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document… more
- CVS Health (Trenton, NJ)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided within the… more
- Humana (Trenton, NJ)
- …Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. **Use your ... of service should be authorized at the Initial and Appeals/ Disputes level. All work occurs within a context of...millions of people we serve to achieve their best health - delivering the care and service… more
- Mount Sinai Health System (New York, NY)
- …advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific ... integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative… more
- Mount Sinai Health System (New York, NY)
- …degree preferred + 4 years of insurance billing and collection procedures in a health care environment + Excellent written, verbal and interpersonal skills + ... charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications**...all people, everywhere, by taking on the most complex health care challenges of our time -… more
- Humana (Trenton, NJ)
- …inpatient care reviews for accurate billing of clinically valid diagnoses and care received. May also engage in disputes and grievance and appeals reviews. ... level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which...millions of people we serve to achieve their best health - delivering the care and service… more
- YAI (Manhattan, NY)
- …turning and/or using lifts, colostomy, ostomy and catheterization. Works with RN, LPN and Health Care Specialist to ensure the medical needs of people supported ... pressure, heart rate) + Scheduling/following up on appointments in coordination with Health Care Specialist and appropriate nursing staff + Performing catheter… more
- Ascendis Pharma (Princeton, NJ)
- …Operations plays a critical role in driving operational excellence, compliance , and financial performance through effective management of contracting operations. ... from negotiation and execution to renewal and termination. Ensure compliance with company policies, regulatory requirements, and contractual obligations.… more
- YAI (Manhattan, NY)
- …pressure, heart rate) + Scheduling/following up on appointments in coordination with Health Care Specialist and appropriate nursing staff + Performing catheter ... Workday account. (http://wd5.myworkday.com/wday/authgwy/yai/login.htmld?) Key/Essential Functions & Responsibilities + Ensures health , wellness and safety by providing appropriate supervision of… more
- Comerica (New York, NY)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... responses to incoming correspondence and any other client requests to ensure compliance with the governing document, applicable law and policies and procedures.… more
- YAI (Manhattan, NY)
- …to the community. + Responsible for the overall supervision, protection, and care of individuals at all times including maintenance of program guidelines for ... signs of an individual's potential harm to self or others. + Ensures health , wellness and safety by providing appropriate supervision of the people we support… more
- AIG (New York, NY)
- …employee benefits and resources that help you protect what matters most - your health care , savings, financial protection, and wellbeing. We provide a variety of ... manage risks and provide financial security. Make your mark in Global Legal, Compliance and Regulatory Our Global Legal, Compliance and Regulatory (GLCR) team… more
- Ascendis Pharma (Princeton, NJ)
- …340B claims, disputes ), and reporting packages to ensure accuracy and compliance . + Stay abreast of industry trends, policy changes, and regulatory updates; ... Market Access, Analytics & Commercial Operations and other US teams, ensuring compliance with evolving federal and state pricing regulations while maximizing net… more
- Prime Therapeutics (Trenton, NJ)
- …If you're ready for a purpose-driven career and are passionate about simplifying health care , let's build the future of pharmacy together. Prime Therapeutics ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly… more
- JPMorgan Chase (New York, NY)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... for ultra-high net worth clients. Collaborate with top professionals across legal, compliance , and risk functions. Shape the future of wealth management by… more
- GE HealthCare (Manhattan, NY)
- …ensuring smooth communication and service delivery. -Conduct regular rounds in patient care areas to build strong relationships with Nursing staff and gather ... with minimal supervision. -Provide support for timely resolution of customer invoicing disputes in coordination with Service Sales and field service teams. -Aware of… more
