- Molina Healthcare (NY)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... or more direct report supervisors, facilitates integrated, proactive management, ensuring compliance with state and federal regulatory and accrediting standards. *… more
- Bassett Healthcare (Milford, NY)
- …I serves as the first point of contact for patients within the Bassett Healthcare Network. This is a key role in the patient centered care team. Demonstrates ... today as observed by Supervisor and as noted in compliance reports. Takes clear, complete and accurate phone messages,...scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP,… more
- CVS Health (Albany, NY)
- …and contractual obligations. The position leads cross-functional initiatives to support audit readiness and collaborates with Compliance , Legal, Medicaid Health ... day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance ...**Required Qualifications** + A minimum of 7 years of healthcare payer experience, with at least 5 years in… more
- Molina Healthcare (Albany, NY)
- **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM ... durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior… more
- YAI (Manhattan, NY)
- …MQRs above) + Master's degree in any field indicated above + Certification in Healthcare Compliance (CHC) or related training/certification + One (1) year of ... action. + Attends regional and/or departmental meetings to keep staff informed about audit findings and risks, new developments in compliance regulations and … more
- Robert Half (New York, NY)
- JOB REQUISITION East Region Technology Business Platform Transformation Healthcare Director LOCATION NEW YORK CITY ADDITIONAL LOCATION(S) JOB DESCRIPTION EAS SAP - ... projects working with cross-functional teams of Business, IT, and Compliance teams + Experience with SAP application/configuration-based controls (workflows,… more
- Molina Healthcare (Albany, NY)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare … more
- University of Rochester (Rochester, NY)
- …or + Certified Internal Auditor (CIA) upon hire preferred or + CHC - Certified Healthcare Compliance upon hire preferred or + CHRC - Certified in Healthcare ... oversight, administration, and direction for high-risk and high-priority financial research compliance functions. Directs the Office of Research Compliance for… more
- Genesis Healthcare (Southampton, NY)
- …interventions to prevent harm to both the client and the individual. COMPLIANCE : 1. Complies with applicable legal requirements, standards, policies and procedures ... including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in… more
- City National Bank (New York, NY)
- …in a data management environment * Minimum 10 years of management experience in compliance , risk management or audit . * Minimum 7 years of financial services ... *HEAD OF CONSUMER LENDING COMPLIANCE * WHAT IS THE OPPORTUNITY? The Head of...and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available… more