- City of New York (New York, NY)
- …Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), Investigation, Revenue ... how vendors are managed and held accountable for complying with contractual, regulatory and legal requirements. The Vendor Monitoring Office is recruiting for (1)… more
- CUNY (New York, NY)
- …are underrepresented in the field of medicine and on training high quality , culturally competent health professionals and scientists equipped to address the ... major priority, CUNY SoM also seeks to enhance the recruitment and retention of senior leadership, faculty, and staff to more closely reflect the diversity of our… more
- Albany Medical Center (Albany, NY)
- … compliance , billing, finance, IT, case and utilization management, quality , credentialing, and other related departments. The Director builds external ... relationships with payers' senior network management, leads meeting, oversees and/or prepares presentations,...accountability. + Develops payer scorecard initiatives to measure payer compliance with contract terms and overall efficiency of payer… more
- City of New York (New York, NY)
- …development and implementation of policies, procedures, and guidelines to ensure compliance with legal, regulatory , and organizational requirements. Monitoring ... Improvement: Identify opportunities to enhance operational efficiency, effectiveness, and quality across departments. Initiating and leading process improvement initiatives,… more
- Evolent (Albany, NY)
- …with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- City of New York (New York, NY)
- …and statistical methods employed are correct, accurate and current; ensure staff compliance with all regulatory and procedural guidelines; monitors staff time ... data to identify projects to improve overall agency performance and to ensure compliance of OCSS operations with agency policy and laws and with state and… more
- Evolent (Albany, NY)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Evolent (Albany, NY)
- …with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Evolent (Albany, NY)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Citigroup (New York, NY)
- …and servicing coordination, facilitating complex client onboarding, data management, and quality control. The team will be accountable and responsible for ... operations, legal, etc to ensure strategic vision is enabled. + Ensure that quality of data, controls and processes performed meet internal policies and … more