• Medical Director -Pharmacy Appeals

    Humana (Albany, NY)
    …with Medicare and Humana policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included but not limited to CMS ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/22/25)
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  • RN Case Manager - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …years utilization review/case management experience or social work experience. Preferred: + Associate degree in healthcare related filed. + Bachelor's degree is ... activities concerned with case management and discharge planning. + Ensure compliance with quality patient care and regulatory compliance . Education/Experience… more
    Mohawk Valley Health System (08/19/25)
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  • Patient Access Representative - Emergency Room…

    Stony Brook University (Stony Brook, NY)
    …completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in ... self-pay patients, collecting required deposits when appropriate. + Ensures that compliance regulations are met (presenting and obtaining consent and regulatory… more
    Stony Brook University (08/16/25)
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  • Senior Encounter Data Management Professional

    Humana (Albany, NY)
    …encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/15/25)
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  • Actuarial Analyst 2, General

    Humana (Albany, NY)
    …for any combination of valuation, pricing, analytics, forecasting, risk, compliance , and operations. Understands department, segment, and organizational strategy and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/13/25)
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  • Lead Anaplan Architect

    Humana (Albany, NY)
    …proposing enhancements, and driving innovation across planning processes. + Ensure compliance with data privacy, security, and governance standards (eg, GDPR, HIPAA, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (08/09/25)
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  • Supervisor Veterans Home Fiscal Administration…

    New York State Civil Service (Jamaica, NY)
    …revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ensure ... and services, including vendor solicitation and bidding processes, to ensure compliance with procurement guidelines and State Finance Law.* Supervises and directs… more
    New York State Civil Service (08/08/25)
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  • Supervisor Veterans Home Fiscal Administration…

    New York State Civil Service (Batavia, NY)
    …revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ensure ... and services, including vendor solicitation and bidding processes, to ensure compliance with procurement guidelines and State Finance Law.* Supervises and directs… more
    New York State Civil Service (08/08/25)
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  • Clinical Assessment Advisor, Home Health

    CenterWell (Hauppauge, NY)
    …assigned care team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI's). Established productivity standards and ... skills + Knowledge of state and federal home health agency regulations and compliance standards and regulations + Knowledge of clinical policies and procedures and… more
    CenterWell (07/24/25)
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  • Procurement Administrator

    New York State Civil Service (Albany, NY)
    …procurement record and related documents for accuracy, completeness and compliance with established procedures consulting with the Senior Procurement Administrator ... monitoring of consultants, contractors and/or vendors insurance documents for compliance with contractual requirements, and interact with consultants, contractors… more
    New York State Civil Service (07/15/25)
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