• Senior Audit Manager - Corporate…

    US Bank (New York, NY)
    …skills and discover what you excel at-all from Day One. **Job Description** The Corporate Audit Services (CAS) Senior Audit Manager - Corporate Function - ... supports the Corporate Functions, Regulatory Reporting, and SOX Administration Audit Director. This role supports the Audit ...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
    US Bank (07/10/25)
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  • Audit Business Manager , Meritain…

    CVS Health (Amherst, NY)
    …remote or hybrid depending on candidate location.** **Minimum Requirements** + Minimum 4 years audit experience or in related field + Healthcare or TPA industry ... etc.** Engages all appropriate parties and **implements best practices and develops Audit Policies & Procedures.** + Assesses and validates the effectiveness of… more
    CVS Health (07/10/25)
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  • Third Party Client Audit Manager

    CVS Health (Albany, NY)
    …proven ability to lead, motivate and develop colleagues + 3+ years of healthcare industry experience + Strong understanding of audit processes. + Demonstrated ... is seeking a results-driven leader to manage our Client Audit team. This role is responsible for leading a...This role is responsible for leading a team of audit professionals, overseeing audit processes, working closely… more
    CVS Health (07/25/25)
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  • Director Medical Coding and Chart Audit

    Catholic Health (Cheektowaga, NY)
    Salary: 93,385.50-140,068.50 USD Facility: Healthcare Solutions WNY, LLC Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus ... Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be responsible for managing and overseeing professional… more
    Catholic Health (07/12/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (07/29/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (NY)
    …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... Healthcare Quality + other healthcare certification To all current Molina employees: If you...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (07/20/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Albany, NY)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing… more
    Molina Healthcare (06/18/25)
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  • Manager , Claims (Portal Response)

    Molina Healthcare (Yonkers, NY)
    …License, Certification, Association** + Certification in Training and Development preferred for manager overseeing Training unit + Internal Audit Certification a ... plus for manager overseeing Regulatory Quality Audit unit To all current Molina employees: If you...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (07/30/25)
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  • National Manager , Delegation Oversight

    Molina Healthcare (Buffalo, NY)
    …with national and state delegates. + Coordinates, evaluates, and reviews delegation audit assessment tools as necessary to comply with state, federal, NCQA, and ... Compliance Committees as applicable. + Manages department processes to monitor the audit and monitoring performance of delegated entities on a regular interval and… more
    Molina Healthcare (07/09/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (Rochester, NY)
    …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, performs oversight audits and ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
    Molina Healthcare (07/19/25)
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