- Mohawk Valley Health System (Utica, NY)
- …Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to ... discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs and patient throughput efforts. Provide transition… more
- Molina Healthcare (Rochester, NY)
- …processes with overall operational requirements. + Provide documentation and responses for audit requirements as necessary. + Ensure recovery components deployed ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery...Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology… more
- Molina Healthcare (NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of… more
- TD Bank (New York, NY)
- …can provide you more specific details for this role. **Line of Business:** Audit **Job Description:** **Depth & Scope:** + Provides people management leadership by ... required + Oversees and leads a large, significant and/or highly complex, and diverse audit team for an area of significant risk, complexity or scope + People… more
- Robert Half (New York, NY)
- JOB REQUISITION New York Internal Audit and Financial Advisory Intern - 2027 LOCATION NEW YORK CITY ADDITIONAL LOCATION(S) JOB DESCRIPTION Are You Ready to Live ... make a difference? You've come to the right place. POSITION HIGHLIGHTS Internal Audit and Financial Advisory interns work with Protiviti's clients, who are typically… more
- Immigration and Customs Enforcement (Batavia, NY)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... conducted by State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. Requirements Conditions of Employment Qualifications TECHNICAL HEALTHCARE DUTIES AND RESPONSIBILITIES: Using and/or carrying out standard… more
- MVP Health Care (Rochester, NY)
- …customers in every interaction **Your key responsibilities:** + Manage recurring audit inventories, ensuring timely progression and completion of existing audits. + ... reviews. + Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. + Report suspected… more
- City National Bank (New York, NY)
- *DISASTER RECOVER PROG ANALYST* WHAT IS THE OPPORTUNITY? Information Technology (IT) Disaster Recovery (DR) Program is in the second line of defense and is ... accountable for CNB's Disaster Recovery strategy, enabling CNB to provide independent oversight and...the timely and effective response to requests from Internal Audit or external regulators. * Performs DR awareness training… more
- Indeed (New York, NY)
- …meaningful employment. The Senior IT Auditor will join Indeed's expanding Internal Audit team. You will provide impartial assurance and advisory services for the ... responsible for leading IT-focused audits and helping shape the risk-based IT audit plan. You will evaluate IT risks and controls across infrastructure,… more
- Sumitomo Pharma (New York, NY)
- …(GxP, FDA, EMA), manage IT risk, and oversee Business Continuity and Disaster Recovery . Partner with QA, Regulatory, and IT teams to maintain secure, compliant, ... audit -ready systems. **Job Duties and Responsibilities** + **Regulatory Compliance...and maintain risk registers. + **Business Continuity & Disaster Recovery (BC/DR)** + Own and manage the enterprise BC/DR… more