- Mount Sinai Health System (New York, NY)
- …and financial analysis-to drive revenue performance, cash collections, and regulatory compliance . This position requires strong leadership, analytical ... ? Expertise in authorization, registration, billing, coding, reimbursement methodologies, and regulatory compliance . ? Deep understanding of insurance plans and… more
- 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 ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- New York University (New York, NY)
- …Strong knowledge of recovery principles, evidence-based practices, instructional design, and regulatory compliance . + Interest in behavioral health and ... a talented and motivated individual to serve as a program associate for our Managed Care Technical Assistance Center (MCTAC) and Healthcare Innovation team. This… more
- Pfizer (New York, NY)
- …requirements for contract administration process and a strong working knowledge of Managed Care (Commercial, Medicare Part D, Medicaid, Healthcare Insurance ... deep understanding of the Federal marketplace as well as pharmaceutical and managed care industries. You will be responsible for preparing Federal contract offers… more
- 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 ... thinking and authorship. Exercises independence in meeting enterprise expectations and compliance timelines. This is a full-time work from home opportunity.… more
- 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 ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of… more
- Deloitte (New York, NY)
- …troubleshooting bottlenecks, and implementing improvements for reliability and scalability. + Healthcare Regulatory & Data Standards (Preferred):Minimum 7 years ... with healthcare data standards (such as HL7, FHIR) and understanding of regulatory requirements (such as HIPAA compliance ) is highly desirable. + Bachelor's… more
- Mount Sinai Health System (New York, NY)
- …and implement policies and procedures that promote efficiency, data integrity, and regulatory compliance (eg NYS, CMS). + Monitor key performance indicators ... EHR systems. + Organizes routine meetings with health system business leaders and managed care to review payer issues and denials. + Builds effective, collaborative… more
- Haleon (Oak Hill, NY)
- …a key role in supporting and improving site-wide quality systems that ensure compliance with global regulatory standards and internal quality frameworks. **What ... control tracking, and CAPA (Corrective and Preventive Actions) processes to ensure compliance with internal standards and regulatory expectations. + Participate… more
- Mount Sinai Health System (New York, NY)
- …implementation of the care delivery system. Ensures that personnel/labor issues are managed in compliance with contractual agreements and support positive ... Model to meet evidence-based practice standards, national patient safety goals, and regulatory requirements. Serves as an advisor to the CNO and Nursing Leadership… more