- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department… more
- City of New York (New York, NY)
- …eligibility of Food Stamp benefits. - Verify the case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), ... HRA One Viewer, IPay, Automated Listing of Eligibility Requirement Tracking System (ALERTS), collateral mailed inquiries, telephone contacts and other means for… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …role will take a leadership position in the conduct of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including ... and correcting non-compliance and mitigating risks, The performance of the Quality Systems and Risks will be reported periodically to Senior Management through the… more
- New York State Civil Service (Albany, NY)
- …analysis of potential wage violations. The intern will utilize the Contractor Registry system to determine registry status of contractors. They will study the ... investigator 's manual & evaluate possible updates given latest advances...& evaluate possible updates given latest advances in technological systems & methodologies. After learning basic safety protocols, the… more
- CVS Health (Albany, NY)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
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