- Essen Medical Associates (Bronx, NY)
- …healthcare clinical activities. Full understanding of the healthcare regulatory industry, with experience in conducting complex compliance investigations. ... training, as needed. Qualifications At least five (5) years in the healthcare compliance industry, including previous management experience. A minimum of two… more
- City National Bank (New York, NY)
- …CNB's offering, particularly those catered to Preferred, personal, or small business clients. Regulatory / Compliance - strong understanding of the regulatory ... the risk associated with those decisions can be effectively managed . Partnering with a collaborative mindset - partnering to...and Credit policies and procedures as well as all regulatory requirements (eg Bank Secrecy Act, Know Your Client,… more
- Northwell Health (New York, NY)
- …continuous learning environment focused on growth and continued advancement. Ensures appropriate regulatory compliance is effective and being met at all federal ... diagnostic & treatment clinic preferred. Customer Service experience is required. Managed long-term care insurance experience beneficial. Minimum of one (1+) year… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work under ... the oversight of the Director of Managed Care Enrollment and join a team of professionals...of roster submission. Inform Director of Enrollment of MCOs non- compliance . A provider enrollment roster should be sent, at… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** Responsible for all regulatory , compliance , and accreditation matters within HealthDirect. Oversees the development, ... + Partners with internal and external legal resources as needed to resolve compliance issues. + Keeps apprised of new regulatory developments by reviewing… more
- Molina Healthcare (Buffalo, NY)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : ... experience in a managed care setting. * 3+ years experience in managed healthcare administration and/or Provider Services. * Working familiarity with various… more
- Molina Healthcare (NY)
- …Degree in Healthcare Administration **Preferred Experience** + 10 years of managed care experience ( Regulatory and Compliance ) + Previous management ... Administration such as oversight, audit, etc. **Required Experience** * 7 years of managed care experience ( Regulatory and Compliance ) * Previous management… more
- Molina Healthcare (Rochester, NY)
- …dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care + Track regulatory compliance and address any operational ... and experience + 7 years in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related… more
- Staffing Solutions Organization (Albany, NY)
- …Back Office (NYSOH) + Experience in investigating issues in enrollment and eligibility and Managed Care Plan regulatory compliance + Knowledge of medical ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...reflection of our clients and the people they serve. ** Healthcare Data Specialist 1 - Albany, NY** **Division of… more
- Bassett Healthcare (Cooperstown, NY)
- …in accordance with standard operating procedure to support reimbursement and regulatory compliance and patient care. When Appropriate prior authorizations ... first point of contact for patients within the Bassett Healthcare Network. This is a key role in the...capture and data entry (such as MSPQ) necessary for regulatory agencies and compliance requirements is accurate… more
