31 operations manager i jobs found

Job Description: Summary: The Risk Adjustment Project Coordinator supports the risk adjustment initiatives for Excellus Health Plan. Essential Primary Responsibilities/Accountabilities: Level I: Review, monitor and track the medical record retrieval reports to identify provider issues such as but not limited to, refusals to comply with medical record requests. Initiate outbound phone calls to noncompliant providers to resolve provider refusal and/or concerns related to the Health Plan's request for medical records. Builds and maintains strong working relationship with providers and office staff. Educate providers of their contractual obligation to comply with Health Plan's request in a professional manner to minimize provider abrasion. Directly negotiates with providers to procure scheduled commitment to deliver requested medical records, retrieval method, and payable fees for the medical records. Identify and escalate program related issues to the Project Manager...

Description: Position Summary:  The Plant Operator I reports directly to the Plant Manager and is responsible for sewage, FOG, sludge waste processing, and disposal equipment in the septic and wastewater processing plant to produce quality effluent water in compliance with federal, state, and local requirements. This position is also responsible for reporting & clerical duties of the plant.  Shift: Monday - Friday 10:00 AM TO 4:00 PM (Hours May Vary) Essential Duties and Responsibilities Act as a plant operator, responsible for total plant operations. Responsible for monthly reporting and ordering of chemicals. Work independently within established procedures associated with the specific job function. Monitor control panels and adjusts the plant operations as needed. Observes variations in operating conditions and interprets instruments, meter and gauge readings and test results to determine process control needs. Responsible for operating equipment...

Roux Environmental Engineering And Geology, D.P.C Job Type: Regular Full Time Education: Bachelor's Degree Category: Scientific Date Opened: 3/31/2026 Organizational Unit: Buffalo DPC Position Overview This position will assist the project team and Project Manager in providing field support, and technical assistance on environmental investigation and remediation projects. Position Requirements Bachelor’s degree in relevant technical field. Minimum of 1 year of environmental consulting experience. Proficient in performing various routine field activities including but not limited to applying proper sampling techniques for all environmental media, overseeing and directing subcontractors, and managing and directing junior field staff. Experience overseeing various drilling techniques (including direct push, hollow stem, sonic, etc.) and collecting soil, groundwater, and vapor samples. Demonstrated ability to work independently in the field....

Job Description: Summary: The Information Security & Cybersecurity Engineer role develops, maintains, and coordinates the Organization's information security activities in support of the Lifetime Healthcare Companies' information security program. This position provides technical information security risk management and compliance services and support to the Organization's lines of business and further provides information security consulting and support to all levels of the Organization's management in support of the information security program. The cybersecurity disciplines range from Security Operations, Governance Risk and Compliance services, or Identity and Access Management. Essential Accountabilities: Level I • Responsible for the design, implementation, and operation of Organization-wide security infrastructures. Evaluates and proposes new security solutions and advises and consults with the security manager and various levels of management regarding...

Job Description: Summary: This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about accessing community resources and assists with navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position educates and assists with the enrollment and recertification process for Marketplace Facilitated Enrollment (MFE): On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - Qualified Health Plan (QHP). This position requires working occasional evenings and weekends for outreach and community events. *Must be able to drive independently within the Health Plan regions Essential Accountabilities: Level I • Educates Medicaid,...

JOB DESCRIPTION Primary purpose: Responsible for supervising a team of technicians that perform routine required pipeline, compressor and pump station, meter station and related facility cathodic protection activities on regulated facilities that fall under 49 CFR 192 subpart I, and 49 CFR 195 subpart H, as well as non-regulated field gathering facilities. Responsible for identifying annual capital cathodic protection projects to maintain annual DOT compliance on regulated facilities and the same level of compliance on non-regulated field gathering facilities. Manage identified projects, take bids, award projects, coordinate schedules, etc. Create and maintain annual expense and capital budgets, monthly tracking of current expenses and monthly forward forecasting of future expenses. Provide ongoing support to the field technicians, corporate corrosion, engineering and integrity groups. Other project management duties as required. Minimum requirements : Education:...

Job Description: Summary: Under the guidance of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies. Essential Accountabilities: Level I Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not limited to...

Roux Environmental Engineering And Geology, D.P.C Job Type: Regular Full Time Education: Bachelor's Degree Category: Engineering Date Opened: 3/16/2026 Organizational Unit: Buffalo DPC Position Overview This position will assist the project team and Project Manager in providing field support, and technical assistance on environmental investigation and remediation projects. Position Requirements Bachelor’s degree in relevant technical field. Minimum of 1 year of environmental consulting experience. Proficient in performing various routine field activities including but not limited to applying proper sampling techniques for all environmental media, overseeing and directing subcontractors, and managing and directing junior field staff. Experience overseeing remedial contractors in the performance of excavation, injections, system installation and the implementation of other remedial technologies. Demonstrated ability to work independently in the field....

Job Description: Summary: The Cyber Incident Response (IR) Engineer role is critical in detecting, investigating, and responding to cybersecurity threats across the enterprise. This role supports and leads security operations through proactive threat hunting, tool development, forensics, and containment. The engineer collaborates across a broad range of security technologies, cloud environments, and detection platforms. Essential Accountabilities: Level I Designs, implements, and conducts the operation of IR operations tools including logging, SIEM, EDR, UEBA, SOAR etc. Evaluates and proposes new security solutions for IR operations. Investigates and presents recommendations to the security manager and various levels of management regarding protection of computing resources and information assets. Builds & updates playbooks/SOAR automations, etc. Assists with monitoring escalations from analysts and provides technical input during investigations. Performs...

Location: Senior Residential Advisor Full Time Location: Cassadaga, NY, US Requisition ID: 3152 Salary Range: $20.00 To $20.00 Annually Title : Senior Residential Advisor Reports to : Residential Living Manager Position Description Summary Reports to the Residential Living Manager. Responsible for conducting social development training. Coordinates activities at dormitory, including recreation and entertainment on and off center. Also responsible for a variety of functions related to residential living, including dormitory management, safety and security, administration, and training. Essential Functions Supervises the performance of Residential Advisors assigned to the dormitory, providing feedback and support. Monitors and evaluates situations and conditions within dormitories and makes decisions or recommendations to the Residential Living Manager. Coordinates, assists with, and (as designated) directs dormitory activities, including on-...

Valhalla, NY – Seeking Emergency Medicine Assistant Medical Director   Join the Physician Partnership Where You Can Increase Your Impact   Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.   Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you. Key Responsibilities:     Maintain production workflow of mail , HD, & specialty in accordance with daily goals   Act as primary point contact for Wegmans Mail Support Center & Specialty Managed Care Team   Facilitate the daily mail /HD /specialty team operations, ensuring daily mail /specialty work...

Job Description: This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet departmental time frames. Per department needs, may be responsible for additional hours. Essential Accountabilities: Level I Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review...

Job Description: Summary: The Account Service Consultant ensures prompt, accurate, and efficient servicing of the Medicare Sales team, which include Medicare Advantage, Medicare Supplement, and Prescription Drug Plans (PDPs). Inquiries received by an Account Service Consultant may be via one or more of the following methods: telephone, written inquiries, lobby walk in customers. This position maintains constant communication with the Sales and Management staff. The position interacts with other departments (i.e. Medicare Operations, Enrollment, etc.) to identify and resolve client account issues. Essential Primary Responsibilities/Accountabilities: All Levels: Level I: Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants concerning our products, services and policies in accordance with CMS, Corporate Service strategy and other legislative requirements. Identifies and responds to issues as brought...

Company Description It started with a simple idea: what if surgery could be less invasive and recovery less painful? Nearly 30 years later, that question still fuels everything we do at Intuitive. As a global leader in robotic-assisted surgery and minimally invasive care, our technologies-like the da Vinci surgical system and Ion-have transformed how care is delivered for millions of patients worldwide. We're a team of engineers, clinicians, and innovators united by one purpose: to make surgery smarter, safer, and more human. Every day, our work helps care teams perform with greater precision and patients recover faster, improving outcomes around the world. The problems we solve demand creativity, rigor, and collaboration. The work is challenging, but deeply meaningful because every improvement we make has the potential to change a life. If you're ready to contribute to something bigger than yourself and help transform the future of healthcare, you'll find your purpose here for a...

Job Description: Summary: The Service Control/Operations Methodology at Excellus generally consists of the following disciplines: Asset and Configuration Management Incident/Problem/Change Management Service Desk The Asset-Configuration Management Analyst is specific to the Asset and Configuration Management Function at the Excellus Health Plan. This position oversees the daily and long-term strategic management of software and technology-related hardware within the organization. This position is responsible for the development, implementation, monitoring, administration and compliance of all IT Asset Management tools and services such as but not limited to tracking PC and Server lifecycles, software license compliancy and unauthorized software or hardware installations and usage. The incumbent will develop and implement procedures for tracking company assets to oversee quality control throughout. Essential Primary Responsibilities/Accountabilities: All Levels:...

WATER OPERATOR I The Water Operator is responsible for operation and maintenance of equipment in water treatment facilities. RESPONSIBILITIES Operates a variety of equipment/machinery, including valves, pumps, motors, belt presses, disinfection equipment, vehicles, etc. Conducts routine testing, monitoring, and maintenance of production wells, water/wastewater unit processes, and basic laboratory analyses. Performs and documents the treatment process and maintenance of treatment facility equipment. Documents plant performance, including daily flow, electrical and chemical usage and dosage. Responds to call-outs and after-hours emergencies to repair treatment equipment, pumps, motors, sensing devices, instrumentation, and electrical support. Ensures facilities are clean, neat, and secure. Provides customer service functions when necessary. Other duties as assigned. Willing to work all shifts, including weekends, holidays, evenings, and 24-hour...

Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk management and financial solvency for the health plan operation. Essential Accountabilities: Level I Establishes insurance rates, rating structures, and rating systems for groups and categories of business. Maintains reserve programs, pricing files, risk score models, benefit relativity tables and appropriate documentation for work. Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for...

Job Description: This position is onsite/in-person at our Court St. office in Rochester, NY. Multiple Overnight Openings Available! Schedule 1: Mon - Thurs: 10PM - 6:30AM, & Fri: 11:55PM - 8:30AM Schedule 2: Sun-Thurs : 10PM - 6:30AM *New hires will temporarily orient on days to start. Summary: Under general supervision of department management, the Production Floor Operations Specialist may support one or more areas of Production Operations. Assignments are determined based on need; shifts may include day, evening and/or overnight hours, with some including weekend coverage. NOTE: Incumbent will be notified 3 days ahead of any shift assignment adjustment. Essential Accountabilities: All Levels • Specific work activities are assigned daily based on work volumes and department need. • Observes safety and housekeeping standards in work area. Maintains appropriate files, records and equipment manuals. • Informs supervisor of equipment issues. •...

Job Description: Summary: The Software Engineer is responsible for working on projects that are currently being visualized or developed by our organization. This role will be involved with the Software Development Life Cycle methodology and framework, directing software system validation and testing methods, as well as directing software programming initiatives. This position works closely with clients and cross-functional departments to communicate project statuses and proposals. Essential Accountabilities: Level I • Develops code, analyzes, researches, and resolves associated system issues. • Participates in on-call production support rotation. • Supports, maintains, creates and follows all documented IT processes and standards, application documentation and design and code reviews. • Collaborates and communicates with team members and associates throughout the business to understand requirements and identify application impacts. • Creates individual work plans,...