- CVS Health (Albany, NY)
- …5 years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity , Medicaid Special Investigation or Medicaid / Medicare / ... Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes… more
- Molina Healthcare (Buffalo, NY)
- …role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare … more
- Molina Healthcare (NY)
- …pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work... Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago. St. Mary's Healthcare is actively recruiting skilled ... St. Mary's Healthcare has been named a 2025 Times Union...your chance to be part of a high-quality, patient-centered program in a well-established setting. Requisition 3155 Why Choose… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago. St. Mary's Healthcare is actively recruiting a ... St. Mary's Healthcare has been named a 2025 Times Union...and positive. + Excellent customer service skills + Displays integrity , friendliness, and compassion. + Must be able to… more
- Trinity Health (Syracuse, NY)
- …knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other ... and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Works closely with… more
- Trinity Health (Syracuse, NY)
- …knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other ... and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Works closely with… more
- Diageo (NY)
- …value each and every one's talent and personality. **Role Dimensions** The Business Integrity team promotes and protects Diageo's Spirit of Integrity through the ... risk based, agile and future forward ethics and compliance program . The program is focused on bringing...tone-at-the-top, and reinforce accountability and awareness of the Business Integrity agenda. + Shape the market's culture of … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... As directed, they will assist with a variety of program integrity activities such as: + Monitoring...within the group, if needed. **Basic Qualifications:** + Senior Healthcare Program Specialist - Bachelor's Degree, +… more
- WMCHealth (Valhalla, NY)
- …Electronic Medical Records experience preferred. Education: Graduate of an accredited program , degree in healthcare preferred, Bachelor's, preferred. Licenses / ... Revenue Integrity Analyst Company: NorthEast Provider Solutions Inc. City/State:...Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Revenue Integrity Union: No Position: Full Time Hours: 8:30-5pm, M-F… more