- Help at Home (Brooklyn, NY)
- … with productivity standards. + Collaborate with Operations, Intake, and Quality & Compliance teams to develop, review , and implement clinical protocols tailored ... cluster home care services across the New York market. This role ensures compliance with New York State Department of Health (DOH) regulations, Managed Long-Term… more
- Northwell Health (Melville, NY)
- …facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs ... **Req Number** 165533 Job Description Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and… more
- University of Rochester (Rochester, NY)
- …creating, reviewing, validating, and maintaining departmental policies and ensuring staff compliance . + Manage, monitor, and continuously review the ... supervisor's performance, stay up to date with payer regulations and compliance , and contribute to the program's overall performance targets. Authorization workflow… more
- Hillside Family of Agencies (Rochester, NY)
- …of proposed service contracts, conducting high-level risk and impact analyses, ensure compliance and initiate internal review process. In collaboration with ... managing all aspects of the contract lifecycle, including negotiation, execution, compliance , and renewal of contracts across Hillside Children's Center (HCC). The… more
- Community Wellness Partners (Oswego, NY)
- …nursing sector, including Medicare/Medicaid reimbursement, cost reporting, and regulatory compliance . Key Responsibilities: + Prepare, review , and analyze ... our finance team. This role is responsible for overseeing the accuracy, compliance , and timeliness of financial reporting while providing insight to support… more
- Persado (New York, NY)
- …is an innovative Marketing AI platform that integrates high-performance creative generation with automated review of compliance risks. Used by 8 out of the top ... orchestrates and facilitates interactions between a bank's marketing team and its compliance team as they generate collateral that balances performance and … more
- NBC Universal (New York, NY)
- …Implement and enforce security best practices, patch vulnerabilities, and ensure regulatory compliance . + Test and review code for security risks, collaborating ... with teams to mitigate threats. Environment & Release Management + Manage Test, Staging, and Production environments to support development and deployment workflows. + Streamline software delivery through automated integration and release pipelines. Monitoring… more
- Huntington National Bank (New York, NY)
- …for financial statement spreading, risk rating integrity, periodic reviews, annual reviews, compliance , and regulatory review . + Maintains an extensive level of ... and clients. Accountable for risk evaluation and associated regulatory compliance requirements. + Provides independent, in-depth analysis of financial statements,… more
- Evolent (Albany, NY)
- …accurate and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance and quality for all coding practices maintaining ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
- Villa of Hope (Rochester, NY)
- …materials and/or records. Ensures full participation of Tuckahoe staff in compliance , quality assurance, utilization review , and program evaluation activities. ... will lead the planning and execution of strategy, operations, financial management, compliance , quality of care, and evaluation of outcomes for Tuckahoe Community… more