- 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
- 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
- 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
- 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
- M&T Bank (New City, NY)
- …Adheres to applicable compliance/operational risk controls in accordance with Company or regulatory standards and policies. + Promotes an environment that supports a ... M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by external regulators as… more
- Walgreens (New Paltz, NY)
- …compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient ... systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up… more
- Walgreens (Peekskill, NY)
- …compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient ... systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up… more
- M&T Bank (Getzville, NY)
- …analyze credit reports to validate lien position. + Determine if there is life insurance on the account, then gather appropriate information as necessary in order to ... file a claim; follow-up with insurance company for resolution. + Monitor daily file from...applicable compliance/operational risk controls in accordance with Company or regulatory standards and policies. + Maintain M&T internal control… more
- WellLife Network (NY)
- …that proper informed consent is obtained for such procedures. + Perform audit reviews of psychological/behavioral documents to ensure reports and documents are ... in the appropriate sections of the individuals' records and to ensure regulatory compliance. + Participate in various agency committees, as assigned. + Must… more
- Corning Incorporated (Corning, NY)
- …will ensure these systems operate efficiently, safely, and meet all regulatory requirements. **Key Responsibilities** + Perform regular maintenance, inspections, and ... implement process control / process discipline on infrastructure systems. + Create, audit , and revise process documentation and procedures for facility equipment. +… more