- Sedgwick (Buffalo, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are seeking a highly… more
- Sedgwick (Albany, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise the… more
- Sedgwick (Albany, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To supervise a team of… more
- Shinda Management Corporation (Queens Village, NY)
- …required processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre- audit LIHTC/HUD and HOME tenant files for all ... of HOME Annual Owner Certifications + Centralize and maintain LIHTC tenant files for audit ready purposes + Perform in-house audits as needed + Prepare reports as… more
- Access: Supports For Living (Middletown, NY)
- …independently + Performs A/R, cash/denial postings, and billing/follow up on MCO insurance claims + Completes external audit work as assigned and assists with ... Independently work with spreadsheets and databases. You will assist in internal audit functions, year-end projections, and perform other duties as assigned. PRIMARY… more
- Mount Sinai Health System (New York, NY)
- …Support 340B program reporting by building custom reports, identifying eligible encounters/ claims , and automating audit -ready documentation. + Collaborate with ... and accurate integration of data from various external sources, including wholesalers, claims systems, and financial platforms. + Develop complex SQL logic to join,… more
- Molina Healthcare (Albany, NY)
- …Responsible for conducting various audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure ... accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and… more
- City of New York (New York, NY)
- …CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Bureau of Audit Services plays a leading role in risk-based assessments of the Department's ... Innovation's policies. Position Summary: DOHMH is seeking an Assistant Audit Manager to join the Bureau of Audit...all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review… more
- Cardinal Health (Albany, NY)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and ... This position will also support the Director with transactional audit diligence and integration planning, as well as the...records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs,… more
- Healthfirst (NY)
- …problem-solving approaches in producing analyzing and interpreting reports on trending audit finding results and summarizing details to Operations leadership to ... address identified areas for improvement. + Serve as point of escalation for audit disputes. + Conduct comprehensive needs analysis to ensure that audit programs… more