- Molina Healthcare (Syracuse, NY)
- …+ Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes ... our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role… more
- Broadview FCU (Albany, NY)
- …partnership with a variety of business units to maintain a culture of compliance that reflects shared values, goals, and practices. Provide an independent risk ... s risk management policies and strategies are consistent with regulatory guidance. Essential Job Functions/Responsibilities: General + Delivers leadership and… more
- University of Rochester (Rochester, NY)
- …in supporting certification and accreditation processes with the National Committee for Quality Assurance (NCQA) and other regulatory bodies. + Ensure ... related to credentialing and provider data management. + Support data quality assurance processes and implement corrective measures as needed. **Reporting and… more
- BGB Group (New York, NY)
- …writers, ensuring the highest standards of medical accuracy, creativity, and compliance with regulatory guidelines. In collaboration with cross-functional teams, ... addressing feedback. + Manage workload and workflow to ensure timely delivery of high- quality materials. + Collaborate with medical and regulatory teams to… more
- Mount Sinai Health System (New York, NY)
- …Model to meet evidence-based practice standards, national patient safety goals, and regulatory requirements. Serves as an advisor to the CNO and Nursing Leadership ... care according to a professional practice model and care delivery model and the compliance with Provision of Care Standards as evidenced by The Joint Commission and… more
- New York State Civil Service (Central Islip, NY)
- …allegations. As needed to support licensure of new providers and/or to support regulatory compliance , the incumbent may be assigned review of provider-developed ... regulatory waivers, policies, and procedures, and plans of correction, for regulatory accuracy and to support the provider's compliance with environmental… more
- City of New York (New York, NY)
- …quality assurance program within section and PHL-wide. Insurance of section's compliance with regulatory requirements. - Maintain and provide technical ... safeguard the health of all NYC residents by providing quality laboratory testing services that support the priorities of...and procedures for the operation of the lab, ensuring compliance with all regulatory requirements and professional… more
- Equinox, Inc (Albany, NY)
- …of the day-to-day operations of the program, coordination of service delivery, regulatory compliance , staff supervision and fiscal viability of the program ... agency's quality improvement program + Serves to ensure corporate compliance in behavioral health programming- while protecting patient privacy and safety.… more
- WSP USA (New York, NY)
- …and ensuring project work conforms with specifications, permit applications, schematics, compliance documentation, and regulatory and technical analysis memos. + ... the data integrity, documentation, procedures, training, monitoring systems, and record compliance and retention. + Interact with regulatory agencies,… more
- Bank of America (New York, NY)
- …+ Analytical Thinking + Executive Presence + Influence + Collaboration + Regulatory Compliance + Relationship Building + Written Communications **Shift:** 1st ... and monitoring, Credit Review provides an independent assessment of the quality of credit decisioning, portfolio management, risk recognition practices and the… more