- WelbeHealth (Albany, NY)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and… more
- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …actions (CAPAs). + Monitor audit trends and escalate recurring issues to senior leadership. ** Quality Systems & Compliance** + Support the implementation and ... **Job Summary** The Senior Manager of Global Quality Management...standards across global clinical trials. This role provides hands-on quality oversight, supports audit and inspection readiness,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …leading, and optimizing one or more prioritized CoEs within the Global Quality Operations organization-such as Inspection Readiness, Audit Effectiveness, or ... The Senior Manager, Centers of Excellence (CoEs) is responsible...execution of one or more CoEs (eg, Inspection Readiness, Audit Effectiveness) aligned with global quality priorities.… more
- Molina Healthcare (Rochester, NY)
- …care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue ... **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and… more
- Cardinal Health (Albany, NY)
- …in problem-solving, research and problem/dispute resolution. **_Job Summary_** The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, ... with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... team of industry experts with backgrounds in compliance, regulatory, legal, audit , operations, nursing, pharmacy, medical science, economics, accounting, and data… more
- MTA (New York, NY)
- Senior Director, Safety Job ID: 13506 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Chief Safety ... Officer Date Posted: Oct 24, 2025 Description JOB TITLE: Senior Director, Safety SALARY RANGE: $ 165,000 -$ 180 ,000 HAY POINTS: 1312 DEPT/DIV: MTA HQ/ Safety ,… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately...ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department's strategy. Makes decisions… more
- Cushman & Wakefield (New York, NY)
- **Job Title** Senior Facilities Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or a portfolio ... Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the overall responsibility for overseeing the… more