- Humana (Albany, NY)
- …insurance operations. This role is responsible for driving process improvements, ensuring compliance , and leading a large team to elevate member and provider ... process improvements to enhance efficiency, member satisfaction, and regulatory compliance . + Oversee resolution of member enrollment issues, claim...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Albany, NY)
- …discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on outages, impacts, ... for market-based reporting to ensure clarity and accountability. + Compliance and Reporting Tracking: Track market compliance ...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Albany, NY)
- …the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs ... with a context of regulatory compliance , and work is assisted by diverse resources which...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Humana (Albany, NY)
- …+ Ensure platform reliability (>99.9% uptime), security (GDPR/CCPA/TCPA compliance ), and cost efficiency. + Champion modern architecture (microservices, ... in marketing). + Drive data privacy, security, and regulatory compliance . **Use your skills to make an impact** Required...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- AON (New York, NY)
- …consultative manner. + RFP review & preparation, Summary Plan Descriptions and contract compliance . + Communicate and support clients for compliance with all ... Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard… more
- Humana (Albany, NY)
- …tax provisions under ASC 740 and SSAP 101, ensuring accuracy and compliance with US GAAP and statutory accounting principles. + Oversee tax-related disclosures ... appropriate internal controls over tax accounting and reporting, including compliance with SOX 404 requirements. + Collaborate cross-functionally with...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- CenterWell (Hauppauge, NY)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Datavant (Albany, NY)
- …management platforms, and third party integrations. + Balance innovation with compliance , audit defensibility, and clinical integrity across all product decisions. ... practices related to prospective risk capture and concurrent review. ** Compliance & Quality:** + Partner with Legal, Compliance...and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive… more
- Humana (Albany, NY)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Allied Universal (New York, NY)
- …a safety, service, and growth mindset. Training course development, delivery and compliance -tracking will be conducted in accordance with all federal, state or ... content for internal staff and client-specific needs. + Facilitate programs in compliance with Allied Universal standards and all applicable laws and regulations. +… more