- Evolent (Albany, NY)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the...or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified… more
- UHS (Johnson City, NY)
- …patient experience and ensure patient safety. + Promotes and facilitates the compliance and understanding NYS DOH, Infection Control and all regulatory standards. + ... for every voice to be heard. Engagement Councils, peer recognition , and initiatives like Walk in my Shoes for..., and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster… more
- American Express (New York, NY)
- …data issues and risks that impact financial integrity, reporting, and regulatory compliance . The ideal candidate will bring expertise in data governance, controls ... across issue types. + Produce regular reporting and dashboards for senior leadership, risk committees, and regulatory stakeholders, highlighting risk concentrations,… more
- American Express (New York, NY)
- …data issues and risks that impact financial integrity, reporting, and regulatory compliance . The ideal candidate will bring experience in data management, business ... effectiveness metrics. + Produce regular reporting and dashboards for senior leadership, risk committees, and regulatory stakeholders, highlighting risk… more
- Justworks (New York, NY)
- …Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn ... You Will Work On + Manage and process Unemployment Insurance (UI) claims with a focus on accurate data...required documentation via state portals, ensuring all responses meet compliance and deadline requirements. + Support customers by assisting… more
- Rochester Regional Health (Rochester, NY)
- …requirements of third party payors are maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party ... plan for special medical management studies/reports required to ensure regulatory compliance . + Provides ongoing support to the Utilization Committee as assigned.… more
- MTA (New York, NY)
- …+ Removes employees from service and makes referrals to Employee Assistance Program (EAP) or other services as appropriate; coordinates with the necessary parties ... litigation. + Testifies and represents MTA Headquarters in litigation and/or unemployment insurance matters and claims. + Other HRBP duties as assigned. Competencies… more
- TYLin (New York, NY)
- …proper coordination of the systems aspects of the project. + Review and ensure compliance of design with all applicable codes and regulations. + Interface with ... Senior Communications/Systems Engineer to determine schedules, monitor design progress,...Our benefits may include extensive medical, disability and life insurance coverage, continuing education benefits, paid time off, employee… more
- The Cigna Group (New York, NY)
- …of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management ... to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance , Sales and Marketing and Service. + Manages strategic positioning… more
- Amgen (New York, NY)
- …care decision makers, and pharmacy directors in alignment with applicable compliance , legal, and regulatory guidelines. + Understand, integrate and effectively ... as well as competitive products and features and provide feedback to the senior leadership team on specific initiatives of competitors. **What we expect of you**… more