- Justworks (New York, NY)
- …in. Department Risk Programs/ Workers Compensation Operations Function Who You Are The Quality Assurance Analyst will help manage the day-to-day operations ... Analyst , Quality Assurance Workers...closely with the Underwriting, Workers Compensation Operations, Customer Support, Claims and Licensing teams at Justworks. You have no… more
- AIG (New York, NY)
- …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim… more
- City of New York (New York, NY)
- …one (1) Administrative Staff Analyst NM2 to function as the Director of Quality Assurance for the Revenue and Reimbursement Office who will: - Oversee the ... revenues, expenditures and staffing for all HRA's programs. The Quality Assurance & Data Analysis Unit is...regulations and to the mandated deadlines - Perform an audit/ quality control review of completed claims for… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... QA processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test practices, supporting… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management (RHIA or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG ... Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based...Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance , or… more
- Genesis Healthcare (Roosevelt, NY)
- …and audit functions and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. Responsibilities A Licensed ... and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill… more
- City of New York (New York, NY)
- …Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), Investigation, Revenue ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
- Humana (Albany, NY)
- …+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance , and compliance + Determine root causes driving issues ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer...closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the… more
- Humana (Albany, NY)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Highmark Health (Albany, NY)
- …coding principles are incorporated into policy criteria. + **Policy Publication & Quality Assurance :** Manage the full publication process for assigned policies. ... Conduct peer reviews of other policies as part of the quality assurance process to ensure accuracy, clarity, and consistency. + **Consultative & Expert Role:**… more