- Synchrony (New York, NY)
- …Responsibilities:** + Serve as a key contributor to perform full scope model review , annual review , on going monitoring model performance etc. for both ... validation for both pre-implementation validation and revalidation and other reviews (annual review , limited scope review , change review , etc.), be… more
- Stony Brook University (Stony Brook, NY)
- …case management plans, policies, and procedures aligned with organizational goals, regulatory requirements, and best practices. + Coordinate the design, development, ... implementation, and monitoring of the organization's case management and utilization review functions. + Lead initiatives to improve patient satisfaction, reduce… more
- Warner Bros. Discovery (New York, NY)
- …for Distribution, Ad Tech, Marketing and Other Commercial Agreements + Draft, review , and negotiate privacy, security, advertising, and data terms for complex ... laws. + Provide advice and guidance that breaks down statutory, regulatory , and contractual obligations into actionable business and technical requirements. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …care related entities. Preferred Qualifications: CPHRM certified. Candidates with quality review experience & familiarity with DOH Regulatory reporting ... Job Summary: High-level clinical review of patients admitted to the University Hospital...Relations department. Report adverse events to the majority of regulatory agencies and conduct internal quality reviews through the… more
- City of New York (New York, NY)
- …of candidates. Follow case and quality management processes in compliance with regulatory guidelines and company procedures. Accurately review results from ... medical tests. Select appropriate outside treatment vendors/providers according to members' needs/illness/injury, can successfully make appointments for member without direct supervision. Make appointments with external vendors as needed to accurately evaluate… more
- Bassett Healthcare (Cooperstown, NY)
- …Assures correct data capture and data entry (such as MSPQ) necessary for regulatory agencies and compliance requirements is accurate and complete as monitored by ... core functions (demographic and financial screening, insurance eligibility and verification, regulatory and compliance monitoring) of front desk services as measured… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing ... our constituency to include supportive housing. POSITION SUMMARY The QA/QI Review Specialist is responsible for completing internal quality reviews within Certified… more
- BronxCare Health System (Yonkers, NY)
- Overview Prepare billing according to state, federal, regulatory agency guidelines and hospital policy. Review source documents as necessary. Utilize multiple ... billing applications for claims preparation, validation and submission.Using reports provided by billing system, follow up on unpaid claims, send inquiries to insurers, performing necessary research, creating appropriate allowances and write offs and/or… more
- MTA (New York, NY)
- …Hazard Mitigation, and Safety Engineering (to include safety certification and review , testing, hazard controls, fire protection, ergonomics, defect analysis and ... (49 CFR 270). This involves managing Metro-North's active participation in the review and revision of these documents, retrieving and compiling comments and… more
- Scotiabank (New York, NY)
- …Scope and execute compliance testing in order to assess compliance with legal, regulatory and internal firm policy requirements. + Focus on the applicable ... regulatory requirements to ensure testing is adequately designed to...Escalate potential issues and exception items noted during the review process to senior management. + Ensure that the… more