- MUFG (New York, NY)
- …Validation (IM Validation) team and engaging with business partners to resolve review comments and discrepancies. This role requires someone with a strong ... in issue development once they are recognized and agreed as issues + Review management action plans (MAPs) development to ensure MAPs can address the control… more
- City of New York (New York, NY)
- …City. Working within the Bureau of Water & Sewer Operations (BWSO), the Plan Review Section review the engineering proposals for various types of projects ... sewer facilities within the five boroughs of the City. Review of these submittals is necessary to determine the...the designs of the moderate/complex engineering projects to ensure compliance with DEP standards and engineering practices. We are… more
- Stony Brook University (Stony Brook, NY)
- …Revenue Cycle Management is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize ... revenue generation and maintain compliance with State, Federal and third party payer regulations...audits utilizing both software tools and/or EMR and documentation review . May assist in the resolution of pre-billing charging… more
- TD Bank (New York, NY)
- …other regions (UK and Singapore). Specific Accountabilities Include: + Lead level 1 review of regulatory deliverables associated with NY Branch and review ... regulatory reporting flux analysis process. + Partner with Specialty Accounting to review US GAAP implications and ensure proper reporting of transactions for FFIEC… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation ... entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member needs. Participates in… more
- City of New York (New York, NY)
- …(DSS) and Department of Homeless Services (DHS). Within DSS-AO, the Process Evaluation Review Team (PERT) was created as an independent unit within the Office of ... Quality Assurance and Fiscal Integrity to aggressively monitor compliance with agency policy and the changes under welfare reform. PERT reviewers conduct reviews of… more
- Stony Brook University (Commack, NY)
- …management of all Managed Care contracts for the health system, ensuring compliance with contractual obligations, State and Federal regulations, and alignment with ... accurate, up-to-date Managed Care contract databases and tracking tools. + Timely review contract terms and upon renewal draft necessary language revisions to… more
- Molina Healthcare (Syracuse, NY)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and … more
- The Estee Lauder Companies (Melville, NY)
- …Outlook, PPT) and SAP preferred.⁃ Ability to interpret and assess operational compliance against Good Manufacturing Practices.⁃ Ability to review SOP's, WKIs, ... Helper/Batch Reviewer's primary responsibility concerns manufacturing batch record control and review . This includes collection, review , correction and data… more
- Sumitomo Pharma (Albany, NY)
- …limited coaching and mentoring. **Job Duties and Responsibilities** Advertising & Promotion Review Activities + Review and approve materials that comply with ... productive working relationships with colleagues and vendors contributing to development, review , and approval of promotional materials, eg Marketing and their… more