- Molina Healthcare (Syracuse, NY)
- …and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of management, coordinates and performs ... with developing the Operational Oversight Work Plan, monitoring and reporting status of audit project tasks, and reporting on overall status of audit projects.… more
- City of New York (New York, NY)
- …our website at nyc.gov/dcas to learn more about the work we do. DCAS' Audit & Compliance Services unit (ACS) resides within the Commissioner's Office. ACS assists ... and prioritizing areas or processes that require attention and audit /review focus by gaining an understanding of the processes...with vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a… 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, ... ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The Clinical & Coding Specialist-Senior will support the… more
- MVP Health Care (Schenectady, NY)
- …Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact role ... goals. + Oversee pre- and post-payment integrity programs including claims editing, audits, subrogation, readmission reviews, and coordination of benefits.… more
- Axis (New York, NY)
- …part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America Claims . ... should possess the ability to handle primary & excess claims arising from policies issued to AXIS Environmental insureds....claim trends + Leading and participating in claim audits, audit wrap up meetings, and formal result reporting +… more
- City of New York (New York, NY)
- …Payment Unit. The candidate responsibilities will include but are not limited to: - Audit OTPS invoices and claims for payment by ensuring invoices and ... supporting documentation are reviewed for accuracy, Purchase orders and contracts are reviewed for availability of funds under appropriate budget and object codes and payment requests are entered in GAL (General Accounting Ledger) and FMS (Financial Management… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- New York State Civil Service (Albany, NY)
- …rules, and regulations governing its operation; assists in establishing the scope of the audit by analyzing and determining areas for audit and the time frame ... to be examined; assists in planning audit activities, including specific audit tasks, and...performing various tests, reviews, reconciliations, and evaluations of accounts, claims , records, and procedures to ensure that transactions are… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... Welfare financial eligibility; and data maintenance for financial systems of record. The Audit and Risk Management area within DFS is responsible for overseeing and… more
- City of New York (New York, NY)
- …to oversee the Senior Auditors' performance of the following tasks: - Reviewing draft audit reports of CBOs prepared by DYCD's contracted independent audit firms ... CPA firms. - Evaluating CBO's proposed corrective action plans prepared to address audit findings. - Following up on corrective action plans accepted by DYCD to… more