- Humana (Albany, NY)
- …Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This ... mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $65,102.17 - $100,908.37 Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy ... billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are… more
- Molina Healthcare (Albany, NY)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Molina Healthcare (Syracuse, NY)
- …+ Responsible for encounters accuracy & completeness (ie, Encounter Production, Audit , Production Vendor Oversight) for assigned lines of business. Responsible for ... Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex… more
- City of New York (New York, NY)
- …rental assistance to about 200,000 additional people. Reporting to the Deputy Director of the Transactions Monitoring Unit (TMU) in the Compliance Department, the ... interpretations of specifications and contract drawings, and other contract disputes and/or claims . - May monitor change orders in routine reconstruction projects or… more
- City of New York (New York, NY)
- …findings; and a discussion of findings and conclusions. Conduct investigations of claims by DEP employees received through the Employee Concerns Hotline or other ... Incident Investigation Policy, Workplace Violence Prevention Policy, and/or Agency Audit Information & Incident Management Information System. 3) Contribute to… more
- Indus Hospitality Group (Rochester, NY)
- …+ Help collect information from employee concerns and complaints, notifying the Director of HR of such complaints and insuring timely communication with all ... with company policies and procedures, including our employee handbook. + Provide audit support for HR and Payroll related activities. + Record management for… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then appropriately accounted for and returned to clients. ... + Assist Director of Accounting with monthly financial close, including development...+ Complete balance sheet reconciliations. + Assist with external audit as needed. + Serve as a back-up for… more