- New York State Civil Service (Rochester, NY)
- …by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal ... and the recent filing of four major lawsuits against nursing homes, including Centers Health Care , Cold Spring Hills Center for Nursing and Rehabilitation, The… more
- New York State Civil Service (Syracuse, NY)
- …by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal ... and the recent filing of four major lawsuits against nursing homes, including Centers Health Care , Cold Spring Hills Center for Nursing and Rehabilitation, The… more
- Highmark Health (Albany, NY)
- …incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud , waste and abuse case, ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- City of New York (New York, NY)
- …found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. The Medical Assistance Program ... the three divisions keep pace with changes relating to health care reform and anticipated program growth...responsibility areas. - Identify areas of vulnerability for committing fraud , and program changes through the monthly statistics and… more
- Option Care Health (Albany, NY)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...with a strong focus on preventing, detecting, and addressing fraud , waste and abuse (FWA). This leader promotes a… more
- Highmark Health (Albany, NY)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... claims and related documents requiring investigations based on pre-determined criteria, including review of suspect claims, Fraud Hot Line and internal… more
- CenterLight Health System (NY)
- …in ensuring the adherence to DOH and CMS guidelines and to prevent fraud , waste, and abuse (FWA). JOB RESPONSIBILITIES: + Treasury responsibilities: + Perform ... the implementation of bank reconciliation automation process through Workday. + Review financial transaction details from past, present, and forecasted operations;… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution. We are a...do our part to fix some of the fragmentation in care delivery. The time is now. **What you will do (Job… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …programs and standards to prevent fraud , waste and abuse in health care . + Participate in a peer review process on a regular basis; successfully complete ... Leszyk at ###@hhhn.org HHHN Mission To provide the best health care , and access to that ...periodically with a designated regional or lead provider to review your progress and discuss any matters of mutual… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Healthcare (TM) . Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and ... About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review...services to our partners. Company Vision Redefine health care quality and value by aligning… more