- Molina Healthcare (Albany, NY)
- …durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior ... individual contributor with the charter to build a focused CTM resolution team as demand grows. **Knowledge,** ** ** **Skills** ** ** **&** ** ** **Abilities** 1. CTM Intake & Triage Expertise * Deep working knowledge of CMS CTM categories, escalation codes,… more
- Citigroup (New York, NY)
- …with control functions such as Legal, Compliance, Market and Credit Risk, Audit , Finance in order to ensure appropriate governance and control infrastructure as ... well as reporting outputs + Appropriately assess risk/reward when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws,… more
- SMBC (White Plains, NY)
- …troubleshoots issues and addresses them + Generates quarterly position and audit reports for management review + Resolves routine matters and escalates ... anomalies as appropriate + Acts as a technical resource for junior staff members + Prepares or verifies daily reports in compliance with regulatory requirements (Dodd-Frank, EMIR, Canada) + No approval authority + Documents processes and rationales +… more
- AIG (New York, NY)
- …Manage Underwriting Quality Review (UQR) Peer Review process. + Achieve satisfactory UQR Audit results. + Manage, train, and develop underwriting staff in the zone. ... What you'll need to succeed + Analytical, proactive, and communicative. + People management experience. + Strong influencing and communications skills. + Ability to work across multiple areas of company. + Knowledge of Underwriting concepts, practices,… more
- Cardinal Health (Albany, NY)
- …legacy financial applications + Accountable for IT Controls, SOX compliance, and Audit findings on the SAP Pharma platform **_Qualifications_** + Bachelors Degree in ... related field or equivalent work experience. + 8+ years experience in related field preferred. + Strong functional and configuration knowledge in SAP SD module along with pricing functions + Experienced in all SD aspects, including defining & assigning… more
- Guthrie (Cortland, NY)
- …and teammates e. Maintains 99% accuracy rate as measured by Meditech audit reports and errors reported throughout organization. f. Verifies insurance eligibility and ... acts on insurance responses as measured by Emdeon reporting. g. Requests and scans insurance cards for patients registered as measured by direct observation. h. Verifies and scans patient identity documentation for registrations as measured by direct… more
- CUNY (New York, NY)
- …of the areas listed below. All incumbents perform related duties, including post- audit reviews to ascertain program effectiveness. Incumbents in this title, when ... assigned to specialization of campus physical security such as intrusion detection, photo identification, access control and the like, will provide oversight to the system design and specification activity as well as to the contract design, bidding and… more
- American Express (NY)
- …deliverables, including work in progress, and records of stakeholder approvals for audit purposes; provide support for audits as requested + Support the scheduling ... and facilitation of global engagements and outreach including stakeholder meetings, working sessions, and forums (eg, preparing agendas, collecting input, distributing minutes as requested and ongoing) + In time, this role may be assigned to manage the… more
- Mount Sinai Health System (New York, NY)
- …of declines, charge corrections, and preparation of daily deposits and reconciliation/ audit of posted transactions. **Qualifications** + Associates Degree or HS ... Diploma/GED plus two years of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and ICD-10 coding and CCI edits **Responsibilities** 1. Reviews insurance Explanation of Benefits and posts payments to billing… more
- Citigroup (New York, NY)
- …data controls framework performance and issue management process, and regulatory and audit response and action tracking. This role requires someone who is dynamic, ... flexible, and can easily respond to quickly changing needs. The candidate must have the ability to handle ambiguity and complexity and be able to deliver on multiple responsibilities. Developed communication and diplomacy skills are required in order to guide,… more