- Bassett Healthcare (Oneonta, 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
- 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...operating procedure and Healthstream module to support reimbursement and regulatory compliance and patient care. Displays ownership… more
- WM (Buffalo, NY)
- …the services provided to the facility(s) by Stericycle consistently meet service expectations, regulatory and safety compliance measures, and are provided in a ... a US based business-to-business services company and leading provider of compliance -based solutions that protects people and brands, promotes health and well-being,… more
- Bassett Healthcare (Milford, 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
- Bassett Healthcare (Norwich, 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
- Molina Healthcare (Albany, NY)
- …or utilization management experience. + 3+ years supervisory experience in a managed healthcare environment. + Previous experience in Hospital Acute Care, ... non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards. + Manages… more
- Molina Healthcare (Syracuse, NY)
- …+ Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes ... our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role… more
- BlackRock (New York, NY)
- …be able to effectively manage compliance risk and help ensure compliance with regulatory requirements and applicable BlackRock policies and procedures ... for new product development and implementation of new regulations + Implement compliance programs/control frameworks relevant to regulatory risks and legal… more
- Molina Healthcare (Yonkers, NY)
- …the Delegation Oversight Department. Oversees delegated activities to ensure compliance requirements including delegation standards and requirements contained in the ... Molina Medical Compliance and Fraud, Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** +...of education and experience. **Required Experience** + 3+ years managed care experience. + Min. 1 year experience completing… more
- Molina Healthcare (Syracuse, NY)
- …execute comprehensive Medicare strategies aligned with enterprise goals and regulatory requirements. + Design and implement state-specific and product-specific ... and retention. + Analyze market trends, competitive intelligence, and regulatory changes to inform strategic decisions. + Lead high-priority, cross-functional… more