• Medical Director, Commercial Line of Business

    Excellus BlueCross BlueShield (Rochester, NY)
    …new medical policies, in conjunction with Medical Services team and Medical Policy Department, based on changes in healthcare . + Consistently demonstrates ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
    Excellus BlueCross BlueShield (07/01/25)
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  • RN - Community Health Nurse - Contract

    FlexStaff (Bronx, NY)
    …member who assigned to a PACE member in compliance with CMS PACE regulatory requirement. JOB RESPONSIBILITIES: + Carries out the agency's mission, philosophy, goals, ... and objectives within guidelines of Agency policy and position function. + Interprets and implements the Agency's philosophy to staff and members of the community. +… more
    FlexStaff (08/15/25)
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  • Program Specialist, Treatment, Rehab and Care…

    City of New York (New York, NY)
    …and care coordination providers to promote quality of care, adherence to contractual, regulatory and policy requirements. Technical assistance will also focus on ... expertise, and programs, and services. We serve as the population health strategist, and policy , and planning authority for the City of New York, while also having a… more
    City of New York (07/05/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Albany, NY)
    …routine and non-routine audits of clinical information, assessing medical policy adherence and consistency in decision-making, identifying non-compliance issues, and ... compliance with departmental metrics, internal control activities, contractual obligations, regulatory requirements, and responding to customer inquiries / audits. +… more
    Highmark Health (07/04/25)
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  • Operational Risk Business Oversight Manager II

    City National Bank (New York, NY)
    …gaps in control design or operating effectiveness * Review and challenge regulatory remediation activities in assigned coverage areas to ensure operational risk ... thematic issues in accordance with the CNB Issue Management Policy * Influence and monitor progress of action plans...risk assessments, risk monitoring, internal and external events, and regulatory exams * Exhibit high attention to details in… more
    City National Bank (09/04/25)
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  • Mortgage Loan Officer - Retail

    City National Bank (New York, NY)
    …the documentation and closing of loan transactions, ensures conformance with Bank policy and regulatory requirements. Exercises sound credit and risk judgment ... loan requests; reviews information to ensure that files submitted meet regulatory agency and CNB policies; forwards application packages to Residential Lending… more
    City National Bank (08/31/25)
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  • Security Specialist - Key Management - GE…

    GE Aerospace (Niskayuna, NY)
    …equipment and programming, physical distribution and collection of keys, regulatory and compliance controls, procedure development, inventory management, procurement ... workflows, and adherence to departmental and regulatory policies. The Security Specialist will implement LEAN principles to safeguard personnel and assets while… more
    GE Aerospace (08/30/25)
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  • Relationship Manager Senior

    City National Bank (New York, NY)
    …all Bank Operational and Credit policies and procedures as well as all regulatory requirements (eg Bank Secrecy Act, Know Your Client, Community Reinvestment Act, ... catered to Preferred, personal, or small business clients. * Regulatory / Compliance - strong understanding of the ...a profitable relationship, balancing bank and client needs. * Policy & Procedures - knowledge of CNB's policies, procedures… more
    City National Bank (08/13/25)
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  • Communications Governance Manager

    Carrington (Albany, NY)
    …and digital communications. + Conduct regular audits of letter logic and regulatory requirements to ensure accuracy and compliance. + Analyze and streamline ... probing questions to explore alternative solutions and a proper understanding of regulatory and systems alignment. + Collaborate with technology partners to optimize… more
    Carrington (08/09/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and ... materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in… more
    Highmark Health (08/08/25)
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