- City of New York (New York, NY)
- …and to identify FWA when present. Audit managers in this unit also oversee claims analysis at the request of the Bureau of Law and Adjustment, generally to ... estimate direct costs incurred by vendors/contractors in litigation with the City and will perform other audits/reviews/investigations as assigned. Responsibilities include, but are not limited to, the following: - Oversee multiple projects, including GAGAS… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- Sumitomo Pharma (Albany, NY)
- …+ Solid understanding of pharmaceutical commercial data (eg, sales, demand, claims , CRM). **Education and Experience** + Bachelor's Degree in Computer ... Science,Information Systems, Business Administration, Analytics or related field. + Minimum 6 - 8 years (w/o Master's) or 4 - 6 years (with Master's) of relevant experience. + Experience in pharmaceutical commercial operations and data reporting strongly… more
- Constructive Partnerships Unlimited (Bronx, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. more
- City of New York (New York, NY)
- …York City Department of Finance. Hearing Officers will review taxpayer claims and documentary submissions, conduct hearings, and draft written determinations ... granting or denying the appeal as directed by, and under delegation from, the Tax Commission President. To be assigned to Assignment Level (AL) 04 Candidates must be an attorney admitted to practice in the State of New York for at least five (5) years.… more
- MTA (New York, NY)
- …for escalated items related to cost estimates, schedules, change orders, claims , time extension requests, and disputes . Evaluate actual project performance, ... risk identification/mitigation, and recovery plans on a program level and identif y Business Unit trends/drivers/mitigation strategies. Review and identify escalated items related to financial reports using actual cost information, forecasted spending per… more
- NBC Universal (New York, NY)
- …make sure insurance requirements are fair and achievable. + Handle insurance claims from start to finish-analyzing coverage, investigating issues, and pushing for ... timely, favorable outcomes. + Create and maintain clear, consistent risk management processes and documentation. + Oversee the department's budget, including premiums and operational costs. + Develop and lead junior team members as needed. What You Bring: +… more
- Rochester Regional Health (Rochester, NY)
- …Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal) to integrate risk management principles into daily ... operations. + Monitor and evaluate the effectiveness of risk management interventions and make recommendations for improvement. + Provide educational training and support to staff and providers on risk management practices and procedures. Participate in new… more
- Highmark Health (Albany, NY)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health ... Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement +… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- …the code of business conduct, the NYS and federal false claims act, whistleblower protection and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES : + RNs, LPNs and Direct Care Counselors more