- Molina Healthcare (Syracuse, NY)
- …team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review , and/or other utilization management activities aimed at ... targeted member population, and triage activities. + Completes staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends… more
- Aston Carter (Jericho, NY)
- …Recoveries AnalystJob Description The Property Recoveries Analyst functions as a key reviewer of billing and recovery setup. This role is accountable for validating ... by addressing billing-related questions and clarifying documentation. Responsibilities + Review recovery setup and maintenance deliverables for accuracy, completeness,… more
- Akwesasne Mohawk Casino Resort (Hogansburg, NY)
- …Prize Vouchers for potential year-end tax preparation filing. + Free Credit & Promotions review : (2wk training) audit consisting of; + Daily, weekly and monthly ... all necessary regulatory expectations. + Over/Short, handpay: (4wk training) audit consisting of; + review , calculation and...handpay: (4wk training) audit consisting of; + review , calculation and compiling all cash paid for Slot… more
- Mount Sinai Health System (New York, NY)
- …Estate-Mount Sinai Health System-Full-Time-Days** This position handles Contract Review and Administration, Financial Lease Administration, Financial Due Diligence, ... Financial Audit /Reporting and Special Projects. Mainly responsible for the oversight...Unit, B2J - Housing And Transportation Administration **Responsibilities** **CONTRACT REVIEW AND ADMINISTRATION:** + Review and analyze… more
- Independent Health (Buffalo, NY)
- …will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing, ... others, to identify coding patterns and share knowledge and audit tips across the team. The Clinical & Coding...+ Responsible for all reconsideration clinical appeals to include review of records, consultation with Medical Director, response to… more
- State of New York Mortgage Agency (New York, NY)
- …and Treasury Services, Facilities and Building Management Services, Internal Audit , Project Management and Information Technology Services. OPS values professionals ... support services. Job Summary: Under supervision of VP Internal Audit or his/her designee, audit and evaluate...procedures. Conduct reviews of data center, analyze security controls, review separation of duties, review disaster recovery… more
- City of New York (New York, NY)
- … audit instruments to ensure they are prepared appropriately for data entry. Review audit coordinator's draft agency audit response for completion and ... TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE The Office of Audit Services is comprised of several units. EAFT is...units. EAFT is one of these units. The External Audit Facilitation Team (EAFT) has overall responsibility for managing… more
- Haleon (Oak Hill, NY)
- …other worldwide regulatory agencies. Approver of Complaint investigations and Annual Product Review Report, contributor and approver as well as SOPs. This role will ... + Lead auditor for Independent Business Monitoring program (internal audit ) + Manages site audit plan, including...time. + Handles regulatory queries from different markets. + Review and approval of complaints; assist in coordination of… more
- City of New York (New York, NY)
- …entities (GAO, HUD, NY State Comptroller's Office, NYC Comptroller's Office, etc.). 5. Review and analyze the draft audit reports submitted by the External ... Staff Analyst (Staff Auditor) in the Department of Internal Audit and Assessment. The successful candidate will serve as...will serve as a valued member of the internal audit team, providing the auditing and administrative services necessary… more
- American Express (New York, NY)
- … leadership and relevant enterprise forums. Process Risk Reduction: Partner across audit functions to review end-to-end processes and recommend control ... you make an impact in this role?** The Internal Audit Group (IAG) plays a critical role within Amex...our Winning Aspiration to be a world class internal audit function that: + Leverages data and analytics to… more
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