- City of New York (New York, NY)
- …of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring (CCM), Investigation, Revenue and Enforcement ... Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee...work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of… more
- Guthrie (Vestal, NY)
- …Home Health NY. 2. Oversees all functions of the Agency to ensure compliance with all required regulations. Maintains a high level of professional competence by ... reviews. 7. Functions under the direction of the SR. Director of post‐acute care services. 8. Assumes responsibility for...Assumes responsibility for the day to day functioning of Medicare certified home health agency. 9. Must have excellent… more
- Molina Healthcare (Rochester, NY)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- CVS Health (Albany, NY)
- …Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across systems, ensuring duals ... and Key Performance Indicators are met, mange ad-hoc requests, and ensure compliance with regulatory requirements. + Demonstrate an ability to lead through influence… more
- Catholic Health Services (Melville, NY)
- …discharge planning (DP), LOC and clinical documentation. + Works with Corporate Compliance to interpret new regulatory and compliance requirements and develops ... for hiring and managing Physician Advisors, along with developing and monitoring compliance with an educational program. + Collaborates with management in recruiting… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... new hires, rehires, transfers from other agencies, and current employees in compliance with citywide requirements and DOI policies utilizing City HRIS system, such… more
- Molina Healthcare (NY)
- …successful launches of new processes, systems, and operational models across Medicaid, Medicare , and Marketplace lines of business. We are seeking a leader with ... + Monitoring performance and resolving operational issues to ensure continuity and compliance + Partnering with the broader corporate ecosystem to ensure strategic… more
- Project Renewal, Inc. (New York, NY)
- …regulatory compliance in healthcare and related human services. The Senior Manager, Compliance reports to the Director of Legal Affairs and Compliance ... but are not limited to the following activities: + Compliance Program Management + Support the Director ...state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid/ Medicare , Part 2). + Ensure the organization's compliance… more
- Cardinal Health (Albany, NY)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as… more
- Centers Plan for Healthy Living (Staten Island, NY)
- … Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing PHYSICAL REQUIREMENTS: The physical requirements described ... need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new… more