- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and ... Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. **Job Duties** * Ensures assigned Tier 2 &… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis ... and quality improvement surveys and state/federal quality compliance activities. Contributes to overarching strategy to provide safe, efficient and cost-effective… more
- Molina Healthcare (Yonkers, NY)
- …the Delegation Oversight Department. Oversees delegated activities to ensure compliance requirements including delegation standards and requirements contained in the ... Molina Medical Compliance and Fraud, Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** +...deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division ... of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote **...Program Compliance and Audit** **50% Onsite 50% Remote ** **Duties:** The Bureau of Program Compliance … more
- Molina Healthcare (Syracuse, NY)
- …Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. + ... Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff. + Participates in meetings related to Molina government run programs with State agencies and Molina Corporate departments and… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... and share knowledge and audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital Audit in accomplishing all… more
- Motion Recruitment Partners (Manhattan, NY)
- Mid to Senior AI Enablement and Governance Specialist / Information Security / GRC Manhattan, New York **Hybrid** Contract $50/hr - $70/hr **Job Description** A ... institution is looking for an AI Enablement and Governance Specialist / Information Security Specialist to be...a critical role developing and implementing their AI and compliance team. You'll define the long-term strategy for cybersecurity… more
- Canon USA & Affiliates (Melville, NY)
- **About the Role** Canon USA is currently seeking a Senior Project Implementation Specialist (Sr Specialist , Proj Implement). The Senior Project ... work both independently and as a member of a team. Typically reports to a Senior Manager or Director and may mentor or supervise one or two less experienced… more
- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability ... preferred) to join our team! We are open to remote work for the right candidate located within the...location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a… more
- SMX (Albany, NY)
- Senior Contract Specialist (4655)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX is seeking a skilled and driven ** Senior ... drafting, reviewing, and negotiating agreements with customers and partners. The specialist will collaborate closely with sales, program leads, and cross-functional… more