- Humana (Albany, NY)
- …Humana's Health Quality and Stars organization is seeking a Senior Data Quality/ Integrity Engineer to deliver quality and value in a fast-paced, dynamic environment. ... expertise and business intelligence in supporting execution of the HEDIS program and related activities, all within tightly regulated requirements and timelines.… more
- Meta (New York, NY)
- …and addressing and preventing negative experiences. The Surfaces Operations team within Integrity and Support Operations strives to keep our platforms safe. This ... team plays a crucial role for Integrity across our apps such as Facebook, Messenger, Instagram...sensitive environment 3. Create and modify data labels, ensuring compliance to all regulatory and legal requirements 4. Ensure… more
- Molina Healthcare (Syracuse, NY)
- …Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/ compliance adherence. To all current ... role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon… more
- Trinity Health (Syracuse, NY)
- …a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as ... costs and schedule with regular professional level reporting. + Works to support compliance with Joint Commission, CMMS, OSHA, state Department of Health and other… more
- Trinity Health (Syracuse, NY)
- …Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well ... operational availability to end users. Supports various operations, projects, program management, & service delivery initiatives. Interacts with various levels… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory ... audits, and collaborates with internal stakeholders to optimize savings while maintaining compliance . Responsibilities: + Program Compliance & Stakeholder… more
- TD Bank (New York, NY)
- …globe. This Compliance Officer will also support other aspects of the Core Compliance program as needed. ** Compliance Oversight Program ** **Depth & ... (M&T) Team, responsible for working on developing, implementing and coordinating the Compliance Oversight program over first line Risk Owner (RO) activities… more
- Trinity Health (Syracuse, NY)
- …**Maintains a working knowledge** of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of conduct, as ... well as other policies & procedures to ensure adherence in a manner that reflects honest, ethical & professional behavior. **Minimum Qualifications** Education / Accreditation / Licensure (required & preferred): + Bachelor's degree in related field required,… more
- Staffing Solutions Organization (Albany, NY)
- …- Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The ... Bureau of Program Compliance and Audit is seeking a...As directed, they will assist with a variety of program integrity activities such as: + Monitoring… more
- Rochester Regional Health (Rochester, NY)
- …+ Revenue Management. Ensure competitive pricing, appropriate reimbursement and compliance with governmental billing regulations; manage the department chargemasters ... criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and… more
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