- Helio Health Inc. (Syracuse, NY)
- …+ Conducts internal investigations and reviews, specifically to ensure compliance regarding fraud and abuse . + Assist with Helio Health's efforts to ... learning, this role is for you. You will conduct sensitive investigations of abuse , neglect, and complaints, ensuring all parties feel heard and respected. Your… more
- WMCHealth (Valhalla, NY)
- …regulatory standards. + Lead and manage investigations into allegations of misconduct, fraud , waste, abuse , and ethical violations in accordance with established ... years of experience in compliance or regulatory management in a large healthcare facility, required Education: + Bachelor's degree in business, Accounting, Finance, … more
- MVP Health Care (Tarrytown, NY)
- …audit needs, and develop audit protocols for new audit types. + Report suspected fraud and abuse to the SIU for further investigation and identify providers ... auditing and/or reviewing, customer care, membership, pharmacy, or relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement… more
- Cardinal Health (Albany, NY)
- …firm or in-house healthcare experience preferred, including commercial transactions and fraud & abuse compliance expertise + Experience working with GPO's, ... and contract manufacturing. **_Responsibilities_** + Demonstrate knowledge of commercial healthcare law, including pharmaceutical distribution and manufacturing + Demonstrate… more
- Capgemini (New York, NY)
- …testing + Contribute to the design and enhancement of compliance programs covering fraud , market abuse , and insider trading **Required Skills and Experience** + ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
- CVS Health (Albany, NY)
- …to coding questions, state and federal policies. + Identify potential billing errors, abuse , and fraud . + Identify opportunities for savings related to potential ... through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct… more
- CVS Health (Albany, NY)
- …to coding questions, state and federal policies. - Identify potential billing errors, abuse , and fraud . - Identify opportunities for savings related to potential ... through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Knowledge of medical billing requirements and ability to recognize insurance fraud / abuse strongly preferred. Work Days: Primarily days: evenings, rotating ... degree and two years relevant patient financial/insurance experience in a healthcare related setting or equivalent combination of education and experience required.… more
- Legal Services of the Hudson Valley (White Plains, NY)
- …stake including: eviction and foreclosure prevention, domestic violence, disability, elder law, healthcare , consumer fraud and more. Our services support almost ... Unit (FDU) to represent parents who are accused of neglect and abuse in investigations, administrative hearings, Article 10, Permanency Planning, and Termination of… more