- BronxCare Health System (Bronx, NY)
- …and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation ... Overview Conduct review of denied claims and audits of registration/insurance verification activities to...Bronxcare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control… more
- City of New York (New York, NY)
- …public health for all New Yorkers by providing 1.1 billion gallons of high- quality drinking water, managing wastewater and stormwater, and reducing air, noise, and ... and operations, DEP is party to numerous lawsuits and claims filed with the New York City Comptroller and...work, under the general direction of the Director for Risk Management and Litigation Support, with wide latitude for… more
- Ross Stores, Inc. (New York, NY)
- …Our focus has always been bringing our customers a constant stream of high\- quality brands and on\-trend merchandise at extraordinary savings\. All while providing a ... areas of product compliance, regulatory compliance, product safety, environmental, and risk management\. The position will also assist in developing, implementing,… more
- Molina Healthcare (NY)
- …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Molina Healthcare (Albany, NY)
- …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …technology transfers to CDMOs, including documentation review, gap analysis, and risk assessment. + Provide expert technical oversight of upstream manufacturing ... and improvements post-approval. + Author and/or review technical reports, protocols, risk assessments, and relevant sections of regulatory submissions (IND, BLA,… more
- MetLife (New York, NY)
- …Europe, and the Middle East. With over 150 years of disciplined risk -management experience, MetLife provides deep expertise in skillfully navigating markets with the ... goal of delivering strong, risk -adjusted returns. The firm's client-centric culture enables a singular...aligned with business objectives and enterprise data strategy. * Claims automation: Given the exponential growth of the Pet… more
- Sedgwick (Albany, NY)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... regulations, and client service requirements and assure efficient, cost effective, quality program delivery for medical and disability management. + Coordinating and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …other engineers design systems, scope and decompose projects, manage technical debt and risk , promote best practices, and mentor others on the team. You will also ... collaborative problem solving, sophisticated design, and the creation of quality products are essential. Your team's primary focus is...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- City of New York (New York, NY)
- …to DCAS's operations and its thirteen (13) lines of service by, controlling risk management, improving quality of performance, efficiency, and cost recovery; ... them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of...following: - Engineering Audit; - Vendor Contract Audits & Risk Management, - Internal Audit/ Risk Management, -… more