• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …(PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, and quality patient care while ensuring effective ... palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care, pay-for-performance… more
    Mohawk Valley Health System (07/09/25)
    - Related Jobs

  • Licensed Practical Nurse

    Excelsior Orthopaedics Group (Amherst, NY)
    …records as requested, and answer any patient inquiries. + Maintain exam rooms to appropriate regulatory standards. + Audit new patient charts. + Work as a team ... needed. + Update and maintain patient medical records, including visit details, insurance and contact information. + Service patient after visit with appropriate… more
    Excelsior Orthopaedics Group (08/22/25)
    - Related Jobs

  • Data Analyst - Compliance

    Guardian Life (New York, NY)
    …Data Analyst in Compliance, you will support compliance programs to ensure insurance products and services offered by Guardian and its subsidiaries, including ... thinking. **You will** + Conduct audits, reviews, and assessments of insurance policies, procedures, and practices to identify potential areas of non-compliance.… more
    Guardian Life (08/09/25)
    - Related Jobs

  • Chief Financial Officer (CFO)

    Arc of Onondaga (Syracuse, NY)
    …audits and audit controls, relationships with lending institutions, financial reporting, insurance levels and regulatory compliance Serves as a part of the ... Paid holidays Vacation, sick and personal time Medical, dental and vision insurance Employer funded Health Savings Account 401(k) plan with employer match Enhanced… more
    Arc of Onondaga (08/16/25)
    - Related Jobs

  • Controller

    Family and Children's Association (Mineola, NY)
    …all accounts, ledgers and reporting systems ensuring compliance with GAAP and regulatory requirements + Maintain effective internal controls + Coordinate audit ... while still allowing for growth. Benefits + Full Health/Dental/Vision Insurance + Generous Paid Time Off + 403(b); with...employer contribution + Flexible Spending Account (FSA) + Pet Insurance + Short Term (STD) and Long Term (LTD)… more
    Family and Children's Association (08/15/25)
    - Related Jobs

  • Quality Program Director

    BAE Systems (Endicott, NY)
    …with responsible business functions to ensure proper flow down + Support internal audit plans designed to ensure sustained compliance to AS9100 which form the basis ... and assurance. + Ensure products conform to established company and regulatory performance and quality standards. Manage compliance with federal, state, and… more
    BAE Systems (08/15/25)
    - Related Jobs

  • Behavioral Health Medical Director - Medicare

    Humana (Albany, NY)
    …site of service should be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which may include national ... participate in meetings involving care management, provider relations, quality of care, audit , grievance and appeal and policy review. The Behavioral Health Medical… more
    Humana (08/09/25)
    - Related Jobs

  • Senior Quality Specialist

    CVS Health (Albany, NY)
    …with published policies, and procedures, to effectively meet customer and regulatory guidelines. + Owns responsibility for supporting targeted quality audit ... processes, and responsibilities. **Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review +… more
    CVS Health (09/02/25)
    - Related Jobs

  • Pharmacy Operations Manager

    Walgreens (Brooklyn, NY)
    …Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up ... with insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager… more
    Walgreens (08/30/25)
    - Related Jobs

  • East Region Technology Consulting AI AD&F Director

    Robert Half (New York, NY)
    …a robust network within the Aerospace and Defense sectors. + Regulatory Knowledge: Extensive experience navigating government procurement processes and regulations, ... dental, and vision coverages, FSA and HSA healthcare accounts, life and accident insurance , adoption and fertility assistance, paid parental leave up to 10 weeks,… more
    Robert Half (08/28/25)
    - Related Jobs