- Molina Healthcare (Buffalo, NY)
- …and contributing to initiatives that directly support regulatory and clinical compliance . **Knowledge/Skills/Abilities** + Support RADV audit execution by ... contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is responsible for supporting RADV audit cycles… more
- Highmark Health (Albany, NY)
- … operations, risk, audit , or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** ... 7 years in compliance , privacy, government affairs, healthcare operations, risk, audit , or legal functions...(CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance… more
- Cardinal Health (Albany, NY)
- …in IT Governance, Risk and Compliance functional roles such as IT Compliance , IT Risk Management, IT Audit , Enterprise Risk Management, etc preferred. + ... **_Company Overview:_** Cardinal Health, Inc. (NYSE: CAH) is a global healthcare services and products company. We provide customized solutions for hospitals, … more
- Highmark Health (Buffalo, NY)
- …To Include: + 3 years in a leadership role, preferably in an Audit or Compliance discipline in a Healthcare or Healthcare related industry + 3 years ... (CIPP) + Certified Information Systems Security Professional (CISSP) + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) **SKILLS** +… more
- WMCHealth (Valhalla, NY)
- …+ Auditing & Compliance Oversight + Develop and maintain a 340B audit compliance program, executing self-audits and implementing corrective action plans. + ... Compliance Analyst, 340B Program ( On-Site ) Company:...+ Software & Data Management + Maintain, test, and audit split-billing software and associated data feeds, ensuring accuracy… more
- Molina Healthcare (Syracuse, NY)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim...+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- Carrington (Albany, NY)
- …procedural documents into a complete loan "servicing file" to respond to regulatory compliance audit /exams + Perform assigned compliance testing as assigned ... Analyst I will be responsible for the provisioning documentation for various audit and exam documentation. Also responsible for compliance testing and… more
- Amazon (New York, NY)
- …as a business enabler? Amazon Web Services (AWS) is looking for a highly motivated Compliance Program Manager to join our audit team in AWS Security Assurance to ... for AWS customers. You should be a technically experienced and innovative security, compliance , or audit professional who has the ability to understand IT… more
- Highmark Health (Albany, NY)
- …within task-based budgets.Collaborate and communicate with Information Security, Privacy, Procurement, Audit , Compliance , and other teams across the Enterprise ... fields of study **EXPERIENCE** **Required** + 5 years in Audit and Compliance To Include: + 3...control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes. + Knowledge of… more
- Humana (Albany, NY)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization.… more