- Molina Healthcare (New York, NY)
- …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- Trinity Health (Albany, NY)
- …management and administrative skills. Broad-based knowledge of hospital related regulatory compliance requirements. Presentation skills, team player, ability ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers… more
- BlackRock (New York, NY)
- …be able to effectively manage compliance risk and help ensure compliance with regulatory requirements and applicable BlackRock policies and procedures ... for new product development and implementation of new regulations + Implement compliance programs/control frameworks relevant to regulatory risks and legal… more
- Molina Healthcare (Yonkers, NY)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory / compliance adherence. To all current Molina employees: If you… more
- Molina Healthcare (Syracuse, NY)
- …+ Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes ... our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role… 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 ... the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment,… more
- YAI (NY)
- …or familiarity with Title 17 & 22 regulations + Certification in Healthcare Compliance All qualified applicants will receive consideration for employment ... + Supports the director in assessment and monitoring of compliance and quality of services across the California region,... with all applicable rules, regulations and laws of regulatory /governing bodies, including Titles 17 and 22. + Answers,… more
- Vibrant Emotional Health (New York, NY)
- …work plans Identify areas of training and support for staff to meet regulatory compliance mandates Conduct investigations as assigned and complete thorough ... and reviews of systems, records, and processes to ensure compliance with regulatory guidelines and funder requirements...industry 3+ years of experience in behavioral/mental health or healthcare auditing 3+ years of knowledge of DOH, DOHMH… more
- Molina Healthcare (New York, NY)
- …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- Kuehne+Nagel (Jamaica, NY)
- …coordination skills when working with suppliers and partners + Strict adherence to regulatory requirements and compliance standards + High attention to detail ... Queens site is looking for a new Air Logistics Healthcare Operational Care Specialist to join our team. **How...updates + Manage and monitor vendor network activities to compliance with QuickSTAT agent operating procedures. + Work in… more