- Excellus BlueCross BlueShield (Rochester, NY)
- …Medical Services team and Medical Policy Department, based on changes in healthcare . + Consistently demonstrates high standards of integrity by supporting the ... Lifetime Healthcare Companies' mission and values, adhering to the Corporate...procedures. + Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities are compliant… more
- FlexStaff (Bronx, NY)
- …quarterly reports used for managing process timeframes and vendor productivity, ensuring compliance with all regulatory requirements and contractual vendor SLAs ... sources, including but not limited to providers, members, attorneys, regulatory agencies, and other carriers on any claim related...Eight or more years of insurance experience within a healthcare or managed care setting (preferred) +… more
- CenterLight Health System (Flushing, NY)
- …the highest levels of quality. + Participates in all quality assurance and regulatory compliance activities to ensure appropriate regulatory certifications. ... before working independently. Quality + Ensure all perspective disenrollment is managed and interventions created when applicable and are established to prevent… more
- City National Bank (New York, NY)
- …the Safe Act. * Working knowledge of Bank operations, policies and procedures, and regulatory compliance . * General knowledge of Bank products and services. * ... the risk associated with those decisions can be effectively managed . * Responsible for tracking individual performance goals and...and Credit policies and procedures as well as all regulatory requirements (eg Bank Secrecy Act, Know Your Client,… more
- FlexStaff (New York, NY)
- …period. The Clinical Manager also supervises home care staff, ensures compliance with clinical standards, and ensures that participants receive appropriate, ... deficiencies when needed in coordination with leadership. Quality and Compliance : Maintain accurate, up-to-date documentation of participant assessments and care… more
- Independent Health (Buffalo, NY)
- …required. + Prior experience in customer service required, preferably in a healthcare setting. Experience working with provider offices is strongly preferred. Proven ... of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge preferred. + Ability to effectively… more
- Robert Half (New York, NY)
- …to re-imagine the possible through pragmatic use of AI-ML technology, ensuring compliance with strict government regulations such as FAR, DFARS, ITAR, and DCAA ... a robust network within the Aerospace and Defense sectors. + Regulatory Knowledge: Extensive experience navigating government procurement processes and regulations,… more
- Northwell Health (New York, NY)
- …quarterly reports used for managing process timeframes and vendor productivity, ensuring compliance with all regulatory requirements and contractual vendor SLAs ... (a plus) Experience: + Eight or more years of insurance experience within a healthcare or managed care setting (preferred) + Claims adjudication experience +… more
- The Wesley Community (Saratoga Springs, NY)
- … compliance with Medicaid regulations related to billing requirements, regulatory standards, and facility specific protocols. Qualifications: + Proven experience ... accurate electronic files of all Medicaid Pending cases, ensuring compliance with company policy and HIPAA regulations. + Document...in placement status. + Obtain and maintain all MLTC ( Managed Long Term Care) plan authorizations and extensions. +… more
- CenterLight Health System (NY)
- …continuous learning environment focused on growth and continued advancement. Ensures appropriate regulatory compliance is effective and being met at all federal ... & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of one (1+) year… more