• Lead IT Auditor

    Kaleida Health (Buffalo, NY)
    …colleagues, and management. This role also involves participating in department quality assurance efforts through information sharing, training, planning ... **Lead IT Auditor ** **Location:** **Larkin Bldg @ Exchange Street** **Location...**Experience** **5 years of experience in IT / IS Assurance , Public Accounting, Internal Auditing, Internal Control Design/Documentation, or… more
    Kaleida Health (04/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies… more
    Elevance Health (07/17/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Albany, NY)
    …in determining objectives and approaches to assignments. + Reviewing staff monthly QA review variances + Daily inventory monitoring and assignment of escalated ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (06/26/25)
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  • National Manager, Delegation Oversight

    Molina Healthcare (Buffalo, NY)
    …Access). + Knowledge of applicable state and federal law; National Committee for Quality Assurance (NCQA) standards. + Ability to independently manage multiple ... of delegated functions. + Reports on Delegation Oversight activities to Quality Improvement and Corporate Compliance Committees as applicable. + Manages department… more
    Molina Healthcare (07/09/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the ... serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources. + Participates… more
    Excellus BlueCross BlueShield (06/27/25)
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  • Manager, Lifecycle Marketing, Merchant Commerce…

    DoorDash (NY)
    …Marketing Ops, including creative development, stakeholder feedback, audience segmentation, and QA . + Align CRM initiatives with broader lifecycle programs to ensure ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
    DoorDash (05/16/25)
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