- City of New York (New York, NY)
- …information while adhering to all government policies, rules and regulations - review worksite monitoring notes submitted by our community partners, identifying any ... and address any issues or concerns raised by program participants. - conduct review of program files and perform administrative auditing to ensure program compliance… more
- Northwell Health (Melville, NY)
- …and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management ... of illness and intensity of services provided. Performs PRI's (Patient Review Instrument), as needed. Performs related duties as required. All responsibilities… more
- Evolent (Albany, NY)
- …available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more
- ICON Clinical Research (New York, NY)
- …for assay development, assay validation and clinical trial testing. The individual will review new clinical trial protocols and RFPs and provide technical input to ... technologies and methods for oncology biomarker analysis and clinical diagnostics * Review proposals, protocols and new and updated study specification documents for… more
- Constellation (Oswego, NY)
- …(new work screening committee, maintenance rule panel, Plant Operating Review Committee (PORC), surveillance frequency change program, Containment Spray Additive ... incumbent and split between specialists): A. Inspection readiness (Nuclear Safety Review Board (NSRB), Institute of Nuclear Power Operations (INPO), Nuclear… more
- New York State Civil Service (NY)
- …of assigned projects according to workload, priorities, and design schedules.* Review reports, drawings, specifications, and cost estimates prepared by design ... project documentation, including records of meetings, correspondence, and progress* Review shop drawings, respond to contractor Requests for Information, create… more
- City of New York (New York, NY)
- …with all statutory, regulatory, and contractual standards. The Division of Financial Review and Processing (DFRP) is responsible for the initiation of adverse ... Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases, calculates cash assistance and food stamp grants and enter… more
- New York State Civil Service (Albany, NY)
- …and provide materials to consumers with excellent customer service.* Open, review , sort and distribute incoming physical and electronic correspondence, including ... as appropriate.* Prepare outgoing correspondence and documents as assigned, including review of outgoing correspondence for proper grammatical usage and accuracy.*… more
- Rochester Regional Health (Rochester, NY)
- …continually looking for ways to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately ... handle claim adjustments and coverage changes as needed. + Review and process claim denials according to established processes....a payer's deadline. + Participate in team meetings which review new procedures, new denial types and system updates.… more
- New York Edge (Bronx, NY)
- …evaluations. + Meet with Program Directors to establish quarterly goals and review overall program performance Assess and evaluate program quality through site ... + Develop fiscal strategies with the accounting department. + Review , edit and approve quarterly reports for submission. +...and grant compliance purposes. + Participate in the grant review process for new after-school programs. + Serve as… more