- Ankura (New York, NY)
- …+ Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project. + Evaluate compliance ... guidelines and reference materials + Drafts clear and concise analyses of medical record review and coding findings + Ensures successful completion of project… more
- Lowe's (Syracuse, NY)
- …for vacations, holidays and sick time, as well as access to top-tier medical , dental and vision insurance. For information about our benefit programs and ... problem-solving efforts, and enhance customer delivery experiences. + Solve problems, audit the business, identify trends, and collaborate with third-party delivery… more
- City of New York (New York, NY)
- …areas to prevent potential errors by reviewing records of Cash Assistance and Medical Assistance Program (MAP) cases and analyzing their contents for material that ... Case Integrity and Eligibility Division, who will: - Review and analyze Medical Assistance Program (MAP) duplicate Client Identification Numbers (CINs) for potential… more
- City of New York (New York, NY)
- …to prevent potential errors by reviewing records of Cash Assistance and Medical Insurance and Community Services Administration (MICSA) cases and analyzing their ... in its Eligibility Verification Division, who will: - Work on various Medical Assistance Program (MAP) projects including reviewing and analyzing MAP duplicate… more
- Corning Incorporated (Corning, NY)
- …division and plant staff on quality standards, procedures, and best practices + Audit Management: Plan and conduct 2nd party internal audits to ensure compliance ... on critical customer statuses as well as detailed accounts of aging customer claims . **Experiences/Education - Required** + Bachelor's degree in a STEM field or will… more
- Walgreens (Amherst, NY)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in… more
- Actalent (Clayville, NY)
- …+ Reduce and prevent defects in supplied materials and verify defect claims . + Lead cross-functional teams to pursue performance improvements aligned with ... + Support development and maintenance of work instructions, test instructions, and audit processes. + Develop and maintain inspection instructions and equipment to… more
- Cushman & Wakefield (New York, NY)
- …loss exposure; develop and implement a plan to correct or prevent a loss; and audit the plan to ensure its effectiveness * Maintain and update as needed SOP's for ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- Guardian Life (New York, NY)
- …(classification, OCR/layout understanding, entity/table extraction, summarization) across underwriting, claims , and customer service. + Design and ship ... enforce governance for prompts, datasets, and versioning aligned with legal/compliance/ audit . + Partner with Product, Engineering, Data, and business leaders… more
- Robert Half Finance & Accounting (Ozone Park, NY)
- …comply with public company standards, proactively addressing financial risks and audit issues. * Lead productivity initiatives within the finance department, ... in technical accounting matters such as revenue recognition, unapproved change orders, claims , and other relevant standards. * Collaborate with external auditors to… more