- Molina Healthcare (NY)
- …Certified Professional in Health Quality (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- Revere Copper Products, LLC (Rome, NY)
- …sound and ethical manner to achieve absolute customer satisfaction through superior quality and reliability. We strive to continue the pioneering tradition of our ... supplementation of training with engagement from supervisors, safety and quality using high quality observations. + Assist...metrics Other aspects of the role + Company ISO Auditor + Involved in Mill tours with, for example,… more
- Humana (Albany, NY)
- …* (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other similar credentials preferred but not ... Protection and Enterprise Architecture teams. * Improve and expand application security quality across our entire portfolio of applications * Create and supports… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... management to maximize reimbursement and compliant charging + Develop quality metrics and audit methodologies to drive accuracy and...- required + MBA, MISM or Informatics Training - preferred + 3 years of experience, hospital-based practice with… more
- Datavant (Albany, NY)
- …of hospital inpatient encounters. This role includes staff supervision, quality assurance, workflow management, training, and collaboration with other departments ... Reporting + Track and report on coding productivity and quality metrics for leadership review. + Maintain coding policies,...MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health… more
- Thorntons LLC (Bronx, NY)
- …Manager *Guest Service Representative *Human Resource Manager *Recruiter *Trainer * Auditor Skills *Demonstrates a commitment to leading by example, considering ... feedback effectively and with empathy *Collaborates with GM to deliver high- quality Guest service *Fosters team camaraderie, collaboration, and cohesion *Proactively… more
- Mizuho Corporate Bank (New York, NY)
- …Management Forums, handling communication with outside of reporting production team (eg Internal Auditor , Quality Assurance, and FRB). + Monitor and ensure that ... members. Qualifications: + Bachelor's degree in Accounting major is preferred . + Advanced degree or professional certifications (eg CPA,...or professional certifications (eg CPA, CFA or equivalent) is preferred . + Minimum 3 - 5 years of experience… more
- PNC (New York, NY)
- …Technology Audit team. This position is primarily based in a PNC location. Preferred locations are listed in this requisition. Responsibilities require time in the ... by customers and fraudsters attempting to defraud PNC and its customers Preferred Skills & Experience Audit, Risk or Compliance experience in Financial Institutions… more
- American Express (New York, NY)
- …a Professional Practices group responsible for managing audit operations, quality , and standards; regulatory relations; reporting; training and professional ... and standards, and regulatory expectations, while consistently delivering with quality and professionalism. + Evaluate processes under review utilizing professional… more
- Highmark Health (Albany, NY)
- …education as determined by the company in lieu of bachelor's degree. ** Preferred ** + Master's Degree in Business, Finance, Health Administration, Public Health, ... 5 years in a management or leadership role ** Preferred ** + 10 years in compliance, privacy, government affairs,...Following)** + Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified… more