- Datavant (Albany, NY)
- …suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage a cross-functional team of product managers and ... vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform suite. + Define multi-year… more
- Highmark Health (Albany, NY)
- …control procedures. The Analyst also administers inter-rater reliability tests and communicates review results to business leads both verbally and in writing. This ... and other areas of risk.Prepare draft reports and other management reporting deliverables. Review all work prepared by less experienced team members to ensure audit… more
- Stony Brook University (Commack, NY)
- …Adobe Reader in using required computer systems with minimal assistance. + Review the medical record and all applicable documentation to determine the appropriate ... the diagnosis/procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory… more
- M&T Bank (Getzville, NY)
- …post foreclosure, including management of issues raised, holds placed and review /research needed to complete the foreclosure action. + Communicate with foreclosure ... Assemble and provide documentation in response to investor or regulatory audit requests. + Generate various scheduled and ad...where M&T's lien is not in first position. + Review VA appraiser invoices for payment. Obtain necessary W-9,… more
- Stony Brook University (Stony Brook, NY)
- …resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. + Input ... + Managed Care or IPRO experience. + Knowledge of regulatory requirements ie CMS, OBS, Two Midnight Stay, EMTALA,...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Wells Fargo (Syracuse, NY)
- …and financial goals within the Financial Advisory - Private Client function + Review basic or tactical client goals and risk tolerance, assess investment profile, ... as part of the evaluation. Successful candidates must also meet ongoing regulatory requirements including additional screening, if necessary + US only: Obtaining… more
- Molina Healthcare (Rochester, NY)
- …to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & Overpayment Recovery. Manages inventory ... resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional… more
- JPMorgan Chase (Brooklyn, NY)
- …across the firm to drive business results while adhering to regulatory constraints and internal controls. **Job responsibilities** Focus on capital allocation ... the firm, product segment, regional, and client levels-considering the interaction of regulatory and economic risk constraints at various levels. + Lead the… more
- City of New York (New York, NY)
- …organizing, and analyzing environmental data to support research initiatives, regulatory compliance, and program evaluation. - Assisting with permit applications, ... compliance reporting, and liaising with regulatory agencies such as the EPA, ACOE, and DEC....using GIS software and analyze research findings. Design and Review : - Organize and assist in the review… more
- Citigroup (New York, NY)
- …strategy and/or Data Risk and Control framework for senior leadership and regulatory updates + Liaise with metrics team to articulate clear requirements for ... frameworks that improve the quality and value of data to meet regulatory commitments and enhance risk management. Experience leveraging glossary, lineage, and data… more