- Baylor Scott & White Health (Albany, NY)
- …Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex ... hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and… more
- Bassett Healthcare (Norwich, NY)
- …are sent via mail, phone, or MyBassett to meet patient satisfactions. + Takes a lead in service recovery and acts as a service liaison in the moment. + Acts ... scanned into the system accurately as monitored by system audit + Accurate confirmation of attending PCP and Billing...to be completed due to missing information that could lead to compliance or safety issues. + Acts as… more
- Oracle (Albany, NY)
- …and data centers. We are seeking an accomplished Technical Program Manager to lead the vision, modernization, and global life cycle of Oracle's BADGE Kiosk Hardware ... solutions to maximize device uptime and proactive fault resolution. + Lead cross-organizational teams, including vendors and field services, to deliver against… more
- City of New York (New York, NY)
- …also contains the CFB's Investigations unit, which collaborates closely with the CFB's Audit unit and other members of the Legal division staff to investigate ... of knowledge relevant to your role. Staff Supervision - Lead , manage, and develop a team with varying levels...of all investigation tasks, including analysis and evaluation of audit materials and other evidence, issuance of requests for… more
- M&T Bank (Buffalo, NY)
- …and guidelines ensuring alignment with and adherence to regulatory compliance, audit requirements, overall strategy, and organizational needs. + Develop and ... identify vulnerabilities and recommend appropriate security technology solutions. + Lead continuous evaluation and selection of physical security technology vendors,… more
- CVS Health (Albany, NY)
- …regulatory compliance across managed care operations. **Key Responsibilities:** + Lead and support monthly NCQA accreditation audits, pre-delegation evaluations, and ... and prepare multi-specialty case files (mock and regular). + Assist the Lead NCQA Manager in evaluating organizational policies, procedures, and practices against… more
- Albany Medical Center (Albany, NY)
- …professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee ... as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff… more
- Wolters Kluwer (New York, NY)
- **About the Role:** The Governance and IT Compliance Platform Lead is responsible for the strategic ownership, governance, and operational oversight of the ... (GRC) platforms. This role ensures that security, risk, compliance, and audit processes are effectively supported by technology, aligned with organizational… more
- M&T Bank (Buffalo, NY)
- …and the extent to which they accurately reflect the operational risk environment. Lead initiatives to analyze various elements of said framework and provide guidance ... Limited travel may be required for infrequent seminars and conferences. + Lead and/or support efforts to develop and improve training materials utilized by… more
- Meta (New York, NY)
- …risks across our platforms.In this role, you will:- Drive risk assessments: Lead and support risk identification, evaluation, and mitigation across Meta's business ... experts. **Required Skills:** Program Manager, Integrity GRC Responsibilities: 1. Lead Risk Assessment Activities: Proactively identify, assess, and mitigate… more
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