- University of Rochester (Rochester, NY)
- …programs to address anti-corruption, research ethics, privacy laws, and financial aid compliance . Compliance Investigations and Reporting: + Oversee the ... investigations within their scope of responsibility into potential non- compliance issues, working closely with the University's legal counsel and other… more
- Cushman & Wakefield (New York, NY)
- …data for stakeholders, and identifies trends and risks in ethics and compliance reports. **Job Description** Director, Global Investigations (International) Key ... of the US. + Experience investigating a breadth of ethics & compliance matters, including investigations involving fraud, bribery/corruption and conflicts of… more
- CVS Health (Albany, NY)
- …processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough investigations into suspected fraud, misconduct, or compliance breaches. ... with heart, each and every day. **Position Summary** The Senior Analyst, Investigations at Aetna International plays a pivotal role in safeguarding the organization… more
- EPI (Rochester, NY)
- …consistency of services. + Assist Quality Improvement Dept with SD related corporate compliance investigations . + Assist with staff education and training. + ... The primary function of this role is to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office for People with… more
- CVS Health (Albany, NY)
- …Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through ... issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record… more
- Capital One (Jericho, NY)
- …or equivalent certification + At least 1 year of leadership experience in Fraud, AML investigations or a Compliance role + At least 2 years of investigative ... Degree + 2 + years of people leader experience in Fraud, AML investigations , or Compliance role + 3 + years of investigative experience in Fraud and AML… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Level II (in addition to Level I Accountabilities) + Performs more complex investigations with less direct supervision. Performs compliance and/or governance on ... to Level II Accountabilities) + Manages the highest level of complex investigations , compliance and regulatory issues and exercises decision-making in project… more
- University of Rochester (Rochester, NY)
- …all compliance -related matters, ensuring timely and accurate communication. + ** Investigations & Corrective Action** : Lead investigations of suspected non- ... Compliance Leadership: Demonstrated ability to design and manage effective compliance programs, audits, investigations , and risk assessments in government… more
- WMCHealth (Valhalla, NY)
- …including the review of medical records, HIPAA, training and education, investigations , and support on compliance issues to Administrators, Physicians ... Director of Compliance Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...management as appropriate for resolution. + Maintains records of investigations , prepares trend analyses and provides reports for management… more
- WMCHealth (Poughkeepsie, NY)
- …including the review of medical records, HIPAA, training and education, investigations , and support on compliance issues to Administrators, Physicians ... Regional Manager, Compliance - ONSITE Company: NorthEast Provider Solutions Inc. City/State:...management as appropriate for resolution. + Maintains records of investigations , prepares trend analyses and provides reports for management… more