- Wolters Kluwer (New York, NY)
- …services. Professionals in healthcare , legal, business, tax, accounting, finance, audit , risk and compliance rely on Wolters Kluwer's market-leading ... VitalLaw, is trusted by customers to help legal professionals achieve regulatory compliance and better understand complex legal issues in key areas like securities,… more
- Healthfirst (NY)
- …and results verification before sign-off and Production. + Assist in the on-going audit of configurations for new and existing claims business rules within the ... **Minimum Qualifications:** + Managed care, commercial health plan (or other healthcare related) experience where you have performed claim or data analysis.… more
- YAI (Manhattan, NY)
- …16 and Article 28 clinics. Ensures collection and posting of payments in compliance with all applicable rules and requirements by reviewing and submitting billing ... May assist with or collect data to support coordination of responses to audit requests received from external sources within required time frames, including year-end… more
- Planned Parenthood of Greater New York (Queens, NY)
- …in accordance with PPGNY supply sales, cash handling, and banking policies. Reconcile audit reports to payments and prepare deposits. * Screen all patients for ... * Assists in promoting optimum center operations, excellent patient service and compliance with both agency and funding source policies and regulations. *… more
- Cardinal Health (Albany, NY)
- …Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and ... of Cardinal Health. Key interactions points will exist within Legal, Compliance and Indirect Procurement. **_Respon_** **_sibilities:_** + Solid knowledge in the… more
- Heritage Ministries (Gerry, NY)
- …. Develops and implements clinical training programs to meet regulatory compliance as well as organizational needs . Support leadership, Administrators and ... in full survey readiness for clinical operations . Documentation training and audit . Optimization of reimbursement . Oversee clinical quality outcomes . Leads… more
- Trinity Health (Troy, NY)
- …Evaluate and share opportunities for clinical training and professional development + Audit supervisees record keeping/case files and documentation compliance + ... responsible for the auditing and upkeep of documentation in compliance with department record keeping, as well as other...Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation… more
- Highmark Health (Albany, NY)
- …internal referrals from sources such as claims, customer service, Medicare C&D Compliance , and Fraud Hotlines; will alert Investigators of the need for further ... fraud waste and abuse cases; Prepare reports and other information to document audit findings. + Calculate over-payments in established fraud, waste and abuse cases.… more
- US Bank (New York, NY)
- …in operational risk and/or issue management. - Considerable knowledge of RCA (Risk, Compliance & Audit ) competencies. - Understanding of SOX controls and ... and in the ongoing process and/or activities that ensure compliance with applicable federal, state, and local laws and...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- IAC (New York, NY)
- …and enhance employee benefits programs across the IAC portfolio, including healthcare , life/disability, 401(k), and leave management. * Work closely with the ... existing benefit vendors and assist with RFPs and implementations as needed. Compliance & Reporting * Maintain up-to-date knowledge of relevant laws and regulations,… more