25 project manager iii jobs found

Job Description: Based on the book of business associated with this opening, candidates must reside in the Rochester region. Summary: The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and Employer Group Administrator inquiries. Inquiries may be via telephone, email, written inquiries, and lobby walk-in's or through on-site visits with an employer group and/or broker. This role provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business Partners throughout the organization. Essential Accountabilities: Level I • Responsible for the implementation of new groups, renewals, and conversion of groups to new product lines. • Researches, interprets, and responds to inquiries from internal and...

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...

WSFSSH MISSION STATEMENT The mission of WSFSSH is to provide safe, affordable, senior housing that integrates compassionate property management with supportive services to enhance the independence and dignity of each resident. WSFSSH creates and preserves affordable housing while supporting the development of healthy neighborhoods. JOB SUMMARY  Borinquen Court & Tres Puentes is a cluster of Senior Supportive and Affordable Housing residence in the Bronx, providing 323 units of permanent housing (145 at Borinquen Court,  and 178 at Tres Puentes).  The Property Manager position partners with Social Services staff to collaborate in the development, evaluation and implementation of agency policies, procedures, and programs with the goal of improving the services provided to residents. The Property Manager is responsible for safe operations of the building; staff supervision, operating the property within the budget, facility maintenance, compliance, resident relations and...

WSFSSH MISSION STATEMENT The mission of WSFSSH is to provide safe, affordable, senior housing that integrates compassionate property management with supportive services to enhance the independence and dignity of each resident. WSFSSH creates and preserves affordable housing while supporting the development of healthy neighborhoods. JOB SUMMARY  Borinquen Court & Tres Puentes is a cluster of Senior Supportive and Affordable Housing residence in the Bronx, providing 323 units of permanent housing (145 at Borinquen Court,  and 178 at Tres Puentes).  The Property Manager position partners with Social Services staff to collaborate in the development, evaluation and implementation of agency policies, procedures, and programs with the goal of improving the services provided to residents. The Property Manager is responsible for safe operations of the building; staff supervision, operating the property within the budget, facility maintenance, compliance, resident relations and...

Canandaigua National Bank & Trust Co Senior IT Project Manager II Canandaigua National Bank   Location:  Pittsford, NY (Hybrid – 3 days in office) What does a Sr. IT Project Manager do? The Senior IT Project Manager drives the execution of programs or projects to achieve CNB’s strategic goals.  This position ensures plans, schedules, sprints, and budgets are followed, risks assessed, issues tracked and develops solutions to project challenges.   This position works closely with lines of business to acquire and coordinate resources, work with 3rd party vendors, internal IT resources, or external partners to deliver projects according to plan.  The Sr. IT Project Manager participates in the statement of work (SOW) and contract development, vendor review and selection, and maintain project documentation, as part of the project team.  This position is also responsible for proving updates to stakeholders with a vested interest in the project. Ensure project goals are...

Job Description: Summary: The IT Cloud Engineer - Security provides the vision, strategy, functionality, and technology solutions for creating and maintaining security system and solutions for both public and private cloud infrastructure-based solutions. This position collaborates with the Information Technology teams to lead the organization toward the deployment of technologies which focus on the trust, risk, and security management of the company environment. These may include PaaS, SaaS, hosted, and on-premises solutions - allowing for flexible, secure, on-demand cloud-like functionality and services while endeavoring to provide resiliency and achieve cost reduction, while maintaining a highly secure and flexible environment. Essential Accountabilities: Level I • Enforces and integrates security solutions, tools, and appropriate controls to align to security policies, standards, and procedures. • Stays current with leading security technologies, standards, and best...

Overview: Looking for a career in sales? Insight Global is one of the world's largest staffing firms. What does that mean? We make hiring easy for our clients. Since 2001, we've expanded from a small entrepreneurial startup to over $4 billion in revenue. Our growth is driven by our award-winning company culture, comprehensive training programs, and of course, our people. We pride ourselves on hiring elite entry-level sales candidates because we believe in promoting from within. Each employee starts as a Recruiter before earning a promotion to Account Management.   As an entry-level Recruiter, you’ll be supported by a team of mentors to show you the ropes and give guidance every step of the way. From day one, you’ll be immersed in The IG Way, a cutting-edge training program designed to not only teach how we operate, but also how to accelerate your sales career.   Responsibilities: RECRUITER The purpose of the Recruiter role is to build the foundation for a successful...

Job Description: Summary: This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare 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' medical 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 Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: This position supports the workflow of the Medical Services division. Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care Management. This position acts as a resource for staff regarding members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral process. As well as functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I Review / prep clinical case for clinical staff. Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to the division. Serves as the primary contact for providers regarding authorization, information...

Clinical Practice: Uses the nursing process to provide safe, quality patient care and document accordingly. Works to ensure his/her compliance with all NMHS policies and requirements as directed by the Nurse Manager and Educator. Education: Provides patient/family education and acts as a resource for existing staff and new employees. Can participate in the Preceptor class to ensure proper training of new employees Communication: Maintains communication with multidisciplinary team members to provide holistic care to the patient. Attends daily huddles on each unit to ensure proper assignments and identify team members for the shift. Customer Relations: Projects caring, friendly and helpful image to patients and other customers. Utilized the patient’s communication board (white board) to identify name, date, goals, other staff and procedures or test for the day to keep the patients and...

Job Description: Summary: This position will partner with both the business area and the technical teams to develop high quality deliverables across all phases of a project and/or complex process implementation, from identifying and defining process flows and use cases, through to user acceptance testing and deployment. This position will mentor, train, and drive the use of technology across business functions. In addition, it will provide technical training and user support to business groups. Essential Accountabilities: Level I • Partners with business leaders to understand the goals of the department/division and defines preferred process aligned with executing the strategy to achieve goals and objectives of the organization. Closely follows the strategic direction set by management when establishing near term goals and driving process change. • Evaluates operational trend data for process improvement opportunities. Explores various industry standard methodologies and...

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,...

Looking for a Maintenance Technician in our Staten Island facility. Salary range - $35-40/hr depending on level of experience. The Maintenance Technician III is responsible for inspecting, maintaining and repairing various types of equipment and assisting other team staff with specialized tasks. PRIMARY RESPONSIBILITIES • Cleans and maintains tools and equipment. Cleans and performs preventative maintenance on various equipment. • Performs routine preventative maintenance on various types of equipment used in wastewater treatment. Typical tasks involve checking/changing oil, checking belt tension, changing air filters, etc… • Performs corrective preventative maintenance on various types of equipment used in wastewater treatment. Typical tasks involve pulling pumps from tanks or vaults, repair & replacing PVC pipework, Installing new equipment, etc… • Assists other Maintenance Technician team members in performing various projects and tasks. • Assists in training new...

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: Summary: The SCRUM Master improves the team & customer experience by leveraging Agile delivery techniques. This position is responsible for the continuation of Agile Scrum growth throughout the organization, utilizing the processes and tools that have been established during the Agile transformation to date. This position ensures existing and new Agile Scrum processes and workflows maintain a high level of performance while continuously reviewing and refining those processes. This role supports and grows an Agile culture throughout the Enterprise. We are committed to promoting and maintaining existing Agile standards, creating and evolving the Enterprise Agile Software Development Lifecycle (eSDLC), facilitating the removal of organizational impediments, creating proactive transformation initiatives, assisting new start-up teams with training and coaching, executing Enterprise Agile and documenting best practices and improvements. Essential...

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,...

Accelerate your career. Join the organization that's driving the world's technology and shape the future. Ingram Micro is a leading technology company for the global information technology ecosystem. With the ability to reach nearly 90% of the global population, we play a vital role in the worldwide IT sales channel, bringing products and services from technology manufacturers and cloud providers to business-to-business technology experts. Our market reach, diverse solutions and services portfolio, and digital platform Ingram Micro Xvantage™ set us apart. Learn more at www.ingrammicro.com Come join our team where you'll make technology happen in surprising ways. Let's shape tomorrow - it'll be a fun journey! This position is located in our Buffalo-NY office with opportunity to be on a hybrid schedule and a few days remote per week. We're seeking a hands-on Manager, Azure Technical Support with deep expertise in Microsoft Azure to lead a team of cloud engineers focused on...

Accelerate your career. Join the organization that's driving the world's technology and shape the future. Ingram Micro is a leading technology company for the global information technology ecosystem. With the ability to reach nearly 90% of the global population, we play a vital role in the worldwide IT sales channel, bringing products and services from technology manufacturers and cloud providers to business-to-business technology experts. Our market reach, diverse solutions and services portfolio, and digital platform Ingram Micro Xvantage™ set us apart. Learn more at www.ingrammicro.com Come join our team where you'll make technology happen in surprising ways. Let's shape tomorrow - it'll be a fun journey! Technical Support Engineer - Azure We're seeking a customer-focused Technical Support Engineer with deep expertise in Microsoft Azure to provide frontline support for cloud infrastructure, services, and applications. This role involves diagnosing issues, resolving...

Accelerate your career. Join the organization that's driving the world's technology and shape the future. Ingram Micro is a leading technology company for the global information technology ecosystem. With the ability to reach nearly 90% of the global population, we play a vital role in the worldwide IT sales channel, bringing products and services from technology manufacturers and cloud providers to business-to-business technology experts. Our market reach, diverse solutions and services portfolio, and digital platform Ingram Micro Xvantage™ set us apart. Learn more at www.ingrammicro.com Come join our team where you'll make technology happen in surprising ways. Let's shape tomorrow - it'll be a fun journey! Technical Support Engineer We're seeking a customer-focused Technical Support Engineer with deep expertise in Microsoft Azure to provide frontline support for cloud infrastructure, services, and applications. This role involves diagnosing issues, resolving incidents,...