- Canon USA & Affiliates (Albany, NY)
- …attorney providing support to CMSU, NXC and CMRU on all legal and compliance matters. **RESPONSIBILITIES** + Manage litigation matters handled by outside counsel. + ... Draft and review, company policies and procedures concerning legal compliance . + Assist with due diligence on all legal...absence. + Knowledge of healthcare laws (Federal Anti-kickback regulations, HIPAA , Open Payments Act). + Team player who can… more
- Stony Brook University (Commack, NY)
- …management of all Managed Care contracts for the health system, ensuring compliance with contractual obligations, State and Federal regulations, and alignment with ... protect the organization's interests and mitigate risk. + Ensure compliance with contractual obligations, including financial, operational, and facility… more
- Molina Healthcare (Yonkers, NY)
- …Microsoft Purview, Collibra) and integration into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA , GDPR, SOC 2) ... and application development standards, methodology and, framework within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist for multiple… more
- Catholic Health (Buffalo, NY)
- …performance. The Supervisor is responsible for evaluation and review for regulatory compliance working with service lines and departments to maintain compliance ... & Third party payer requirements + General knowledge of HIPAA Privacy and Security rules + Computer proficiency in...and retrieve data from electronic management system and conduct compliance and financial record audits, as required + Ability… more
- SHI (Albany, NY)
- …pursuit. Your focus will include areas such as risk and compliance , identity management, architecture/infrastructure, hybrid cloud security, and security operations. ... Intermediate + Practical knowledge of security programs and risk and compliance frameworks, including industry-specific standards such as NIST, CIS, SANS, NERC-CIP,… more
- Option Care Health (Queens, NY)
- …in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician's plan of care. Works under structured supervision of the ... mentorship to Infusion Nurse I's as needed to ensure patient safety and compliance . + Provides effective and safe teaching using patient-centered care approach for… more
- Albany Medical Center (Albany, NY)
- …ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide ... and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring… more
- Humana (Albany, NY)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Highmark Health (Albany, NY)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Guardian Life (New York, NY)
- …Risk Controls Lead. This role will be responsible for ensuring delivery and compliance of Vendor Assessments and providing Issues Management guidance as part of the ... vendor assessments + Perform quality reviews of vendor assessments to ensure compliance with process and records and reports are comprehensive and accurately… more