- Highmark Health (Albany, NY)
- …its related policies to ensure the business acts within the parameters of federal and state laws, regulations, and regulatory guidance. The incumbent is also ... activities, including but not limited to internal and external audit progress, recurring risk and compliance reporting, mandated training,...The incumbent must have extensive knowledge of the applicable federal and state rules as well as a solid… more
- City of New York (New York, NY)
- …training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations. State and Federal error rates are based on Medicaid ... Control Case Review Supervisor who will: - Review the audit findings determined by the Quality Control Case Reviewers...of MAQC staff and program's audited. - Ensure appropriate audit worksheets are created for each audit … more
- Mount Sinai Health System (New York, NY)
- …and Administration, Financial Lease Administration, Financial Due Diligence, Financial Audit /Reporting and Special Projects. Mainly responsible for the oversight of ... goals are achieved, this visible role oversees the lease management, tenancy audit and payment processes relating to all the Hospital's operating leases.… more
- City of New York (New York, NY)
- …monitoring the fiscal functions of the agency in accordance with City, State and Federal guidelines. The work of DFS includes managing the ACS budget; submission of ... and data maintenance for financial systems of record. The Audit and Risk Management area within DFS is responsible...monitoring plan for each program area that meets the Federal , State, and City oversight requirements. In addition, each… more
- Humana (Albany, NY)
- …decision making. + Interface with established controls provided by quality audit , clinical policy, process policy/documentation and reporting teams. + Monitor ... for documentation of roles, RACI and expectations for MD audit engagement. + Drive enterprise discussion to decide on...all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on… more
- Equitable (New York, NY)
- …Are you ready to join an organization that will help unlock your potential? Equitable Audit Services conducts audits and reports the results of our work to the ... Audit Committee of the Board of Directors. We provide...status, genetic information or any other class protected by federal , state and local laws. NOTE: Equitable participates in… more
- Grant Thornton (New York, NY)
- …include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program design and/or assessments, ... engagements, assess performance and provide feedback + Develop and execute internal audit workplans and control test procedures based on engagement scope, and client… more
- Elevance Health (Latham, NY)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to...of gender, race, or any other category protected by federal , state, and local pay equity laws _._ *… more
- TD Bank (New York, NY)
- …Legal), and AMCB Consumer Bank teams to ensure that all regulatory, compliance, audit , and self-ID findings are remediated and customer and colleague impacts related ... as required + Drives timely, effective, and efficient resolution of regulatory, audit , compliance, and self ID findings + Actively identifies opportunities to uplift… more
- Highmark Health (Albany, NY)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and guidelines **ESSENTIAL RESPONSIBILITIES:** + Plans and… more