- New York State Civil Service (Albany, NY)
- …healthcare compliance, complex healthcare transactions, matters involving state and federal fraud and abuse compliance, general health law and regulatory issues, ... management and medical malpractice; health information technology; managed care; Medicare /Medicaid Conditions of Participation (CoPs) and Conditions for Coverage… more
- Highmark Health (Albany, NY)
- …Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
- Centene Corporation (New York, NY)
- …various standards + Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA + Provide guidance to various departments ... state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + Identify, evaluate and… more