- Molina Healthcare (Buffalo, NY)
- …Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/ compliance adherence. To all current ... role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon… 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 ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50%...As directed, they will assist with a variety of program integrity activities such as: + Monitoring… 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
- Diageo (NY)
- …implementation and monitoring of an effective, risk based, agile and future forward ethics and compliance program . The program is focused on bringing to life ... to drive compliant behavior and provide decision support on controls, risk and compliance matters. + In partnership with Business Integrity and the Learning… 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 ... RHIT, CCS, CPC/COC or other coding credentials is required. CHC ( Healthcare Compliance Certification) preferred. AAPC, AHIMA or CCSP certification/membership… 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 ... RHIT, CCS, CPC/COC or other coding credentials is required. CHC ( Healthcare Compliance Certification) preferred. AAPC, AHIMA or CCSP certification/membership… 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:...reviews and revises accounts to achieve revenue enhancement and compliance . This position updates and reviews accounts to ensure… more
- CVS Health (Albany, NY)
- …of 25-30 to develop enterprise-wide solutions (medical cost containment and payment integrity ) to address business problems, resulting in lower cost of care for ... solutions, pricing and profitability strategies, measures performance and ensures regulatory compliance to achieve business objectives and drive growth in the… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory ... audits, and collaborates with internal stakeholders to optimize savings while maintaining compliance . Responsibilities: + Program Compliance & Stakeholder… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Insider Threat Program Analyst is responsible for identifying, analyzing, and mitigating risks associated with insider ... Communicate findings, risks, and gaps to both technical and non-technical program stakeholders. * Conduct inquiries and investigations into suspicious activities and… more