- Robert Half Accountemps (White Plains, NY)
- …contract position, you will play a key role in managing promotional claims , investigating account discrepancies, and collaborating with various departments to ensure ... this opportunity is ideal for you. Responsibilities: * Process promotional claims using trade promotion software to ensure accurate matching of bill-back… more
- Citigroup (Getzville, NY)
- …entries * Manage his/her aging and claim portfolio * Maintain up to date and accurate audit trails for all claims * Be prepared for weekly aging sessions to ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Highmark Health (Albany, NY)
- …or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated funds paid ... for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... and trend analyses via spreadsheets, databases and dashboards. + Create audit and reconciliation plans related to: charges, adjustments, expected reimbursement and… more
- Mount Sinai Health System (New York, NY)
- …Support 340B program reporting by building custom reports, identifying eligible encounters/ claims , and automating audit -ready documentation. + Collaborate with ... integration of data from various external sources, including wholesalers, claims systems, and financial platforms. + Develop complex SQL...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... completed for each business area. + Assist in providing audit materials and information as requested. + Meet business...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- ITT (Seneca Falls, NY)
- …and composite materials for the aerospace and defense, general industrial, medical , and energy markets. **Position Summary** This position is responsible for ... tariff combinations required by HTS and country of origin and be able to audit import entries to ensure accuracy of these combinations as well as HTS classification,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Albany, NY)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Ankura (Lexington, NY)
- …a team of industry experts with backgrounds in compliance, regulatory, legal, audit , operations, nursing, pharmacy, medical science, economics, accounting, and ... Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice… more