• Support Specialist Bilingual English…

    Healthfirst (NY)
    …or Urdu + Demonstrated ability to document calls into a computer system ** Regulatory or Compliance activities:** n/a **License or Certification:** n/a WE ARE ... Epaces, Sharepoint + Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department +… more
    Healthfirst (08/29/25)
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  • Managing Consultant - Life Sciences Advisory…

    Guidehouse (New York, NY)
    …all levels, to deliver product planning, pricing, reimbursement, product commercialization, and regulatory and compliance solutions. Do you think you are up ... of Associate Director. **What You Will Need:** + BA/BS degree in Science, Engineering, Healthcare , Business or related course of study. + 5-7 years of Life Sciences… more
    Guidehouse (08/18/25)
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  • Director of Clinical Healthcare Programs

    Research Foundation CUNY (New York, NY)
    Job Title: Director of Clinical Healthcare Programs PVN ID: LA-2507-006906 Category: Instruction and Social Service Location: LAGUARDIA C. C. Job Description General ... Senior Director of Workforce Development, the Director of Clinical Healthcare Programs develops, implements, manages, assesses, and improves industry-informed and… more
    Research Foundation CUNY (07/10/25)
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  • Lead Analyst, Payment Integrity

    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 (09/07/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other ... appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN)… more
    Molina Healthcare (08/15/25)
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  • Director- Health Information Management (Medical…

    St. Mary's Healthcare (Amsterdam, NY)
    …regulations. + Identifies, implements, and maintains medical coding quality and compliance within regulatory and accreditation standard requirements. + Develop ... St. Mary's Healthcare has been named a 2025 Times Union...collection, storage, and retrieval of patient health data, ensuring compliance with regulations. Includes researching and implementing new technology… more
    St. Mary's Healthcare (07/05/25)
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  • Healthcare Call Center Trainer

    ConnectLife (Williamsville, NY)
    Donor Referral Center Trainer - Healthcare Call Center, Nights Williamsville, NY Healthcare Customer Service Representatives are encouraged to apply! This ... months experience as a Referral Intake Coordinator and/or Donor Screening Specialist . Knowledge, Skills, and Abilities: + Medical terminology, and/or medical record… more
    ConnectLife (08/08/25)
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  • Senior Architect, Information Systems

    Molina Healthcare (Yonkers, NY)
    …application development standards, methodology and, framework within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist ... and integration into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA,...+ Experience in regulated or data-sensitive industries such as healthcare , finance, or government is a plus. To all… more
    Molina Healthcare (08/08/25)
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  • Program Manager of Quality Improvement

    Spectrum Health and Human Services (Orchard Park, NY)
    …delivery of high-quality behavioral health services that meet or exceed regulatory standards, contractual requirements, and best practice guidelines. This role ... works closely with program leadership, data analytics, training, and compliance to identify improvement opportunities, implement evidence-based practices, and ensure… more
    Spectrum Health and Human Services (08/19/25)
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  • Manager, Credentialing

    University of Rochester (Albany, NY)
    …and Safety Association (OSHA), and other regulatory agencies that govern healthcare . Supervises the ongoing compliance monitoring, including but not limited ... and organizational policies. + Ensures the Medical Staff Services department is in compliance with regulatory standards, including but not limited to, The Joint… more
    University of Rochester (08/25/25)
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