- Molina Healthcare (Rochester, NY)
- …fee schedules and system configurations to determine root cause of payment error . + Resolves and prepares written response to incoming provider reconsideration ... request is relating to claims payment and requests for claim adjustments or to requests from outside agencies **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** High School Diploma or equivalency **REQUIRED EXPERIENCE:** + Min. 2 years operational managed care… more
- US Tech Solutions (New York, NY)
- …+ **Editing and Proofreading:** Ensure all materials are clear, concise, and error -free. **Experience:** + Experience of scriptwriting on technical or complex topics ... or issues, ideally in the educational or entertainment industries. + Exceptional writing skills and professional portfolio, with the ability to translate complex information into clear and engaging prose in a range of styles. + A strong understanding of… more
- Staffing Solutions Organization (Albany, NY)
- …the Office of the Inspector General (OIG) and the federally mandated Payment Error Rate Measurement (PERM) audit. This typically involves assessing the soundness of ... the audit methodology, conducting independent examinations of consumer eligibility determinations and payments to ensure findings are truthful and accurate, liaising with appropriate State and federal contacts, and drafting responses to reports, follow-up… more
- Molina Healthcare (Rochester, NY)
- …projects as assigned. + Assists with defect reduction by identifying and communicating error issues and potential solutions to management. + Helps to improve overall ... performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation). + Adjudicates or re-adjudicate claims in a timely manner to ensure compliance to departmental turn-around time and quality… more
- QED Technologies International, LLC (Rochester, NY)
- …supports manufacturing operations. Attention to detail ensures that all documents are error -free and compliant with industry standards, which is critical in a ... regulated manufacturing environment. Collaboration skills enable effective communication with cross-functional teams to gather necessary information and update documents promptly. Preferred skills like familiarity with document control software and regulatory… more
- City of New York (New York, NY)
- …programs. Ensure that all projects lead to improved efficiency, which result in error reduction, cost saving and avoidance of fiscal sanctions. - Act as internal ... consultant to the Agency's Senior Leadership Team regarding the following: identify and prioritize program compliance and financial risks and their consequences for the Agency; identify options and then formulate specific policy recommendations for addressing… more
- WMCHealth (Poughkeepsie, NY)
- …potentially dangerous situations to his/her manager which could cause medical error /patient or staff harm and takes action,where appropriate to minimize risk ... of injury. + Reports errors, documents appropriately. Performs other related duties as required Experience: + Graduate Nurse considered Education: + Graduate of an accredited school of nursing. Licenses/Certifications: + Current licensure in New York State as… more
- Abilities First Inc (Poughkeepsie, NY)
- …appointments are made and retraining of staff is completed following a medication error . Keep management informed of concerns regarding any staff person's ability to ... remain certified. + Develop and implement general training programs for staff or specialized training when nursing services are required for specific residents (ie urostomy bag care, tracheostomy tube cleaning, feeding tube use, etc.). + Assist the Nursing… more
- New York State Civil Service (Brooklyn, NY)
- …and contribute to the agency:* Participates in various committees eg Medication Error committee, IRC, Direct Support Development Council, Health and Safety, and Safe ... Patient Handling etc.* Acts as SME related to nursing/medical documentation in EHR; ensure staff have adequate ongoing training for compliance.* Represents nursing department at workshops, work groups, etc., when requested.* Attends and Assists in Nursing… more
- Carrington (Albany, NY)
- …+ Maintain detailed and comprehensive records for all complaints, including error findings that were identified during complaint investigation process, and document ... corrective actions taken. + Manage and track deadlines to ensure compliance with CFPB guidelines of qualified written requests, notice of errors, and request for information. + Must continuously learn and keep up to date with the Regulations related to the… more