- Walgreens (Utica, NY)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- Walgreens (Amherst, NY)
- …ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with ... insurance companies and medical providers and participates in 3rd-party audit . + Follow-up with medical providers' offices to clarify prescribed medications,… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- …food preparation and service, and sanitation and safety. Completes and distributes pre- audit forms reflecting above. + Evaluates food served and the methods by ... the code of business conduct, the NYS and Federal False Claims Acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- American Express (New York, NY)
- …product integration, product uplifts/changes and features, review of marketing claims and disclosures, procedures, training, and other business-owned collateral. ... with the relevant stakeholders, including but not limited to:Internal Audit , Independent Compliance Testing team, General Counsel's Organization, Operational Risk,… more
- Datavant (Albany, NY)
- …**Quality, Compliance, and Scalability** + Ensure analytics products support audit defensibility, regulatory compliance, and documentation traceability. + Design ... SDLC. + **Technical Acumen:** Comfortable working with large datasets, EHR data, claims data, and HCC-based analytics. Familiarity with query languages such as SQL,… more
- Walgreens (New York, NY)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in analyzing and… more
- Trinity Health (Troy, NY)
- …with completing New York State Office of Victim Services compensation claims , crisis counseling and trauma therapy, advocacy, and accompaniment through the ... and share opportunities for clinical training and professional development + Audit supervisees record keeping/case files and documentation compliance + Participate… more
- AIG (New York, NY)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... or new investment types and management of the risks, controls and AIG audit as it relates to investments and supporting Investment FP&A. Responsibilities + Execute… more
- Helio Health Inc. (Syracuse, NY)
- …+ Ensures that records are maintained and accessible in accordance with audit requirements and federal/state regulations; provides detail for response to audits and ... Medicaid and Third-party claim procedures for both paper-based and electronic claims . + Associate degree Required. Our Comprehensive Employee Benefits Package… more
- American Express (New York, NY)
- …associated with new products and features, review of marketing claims and disclosures, procedures, training, and other business-owned collateral. ... with the relevant stakeholders, including but not limited to: Internal Audit , Independent Compliance Testing team, General Counsel's Organization, Operational Risk,… more