• Health Benefits Information Specialist

    City of New York (New York, NY)
    …beneficiaries in gathering required documentation and facilitate timely enrollment during SEPs. Fraud and Abuse Prevention and Reporting: - Provide education to ... to join our team as a Health Benefits Information Specialist . In this role, you will be tasked to...beneficiaries on how to detect and report Medicare fraud and abuse , such as deceptive marketing… more
    City of New York (05/14/25)
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  • Investigative Specialist 1/ Investigative…

    New York State Civil Service (New York, NY)
    …pursuant to the Public Health Law ("PHL"). This includes investigation of fraud , abuse , and misuse involving public-health systems and programs administered ... NY HELP Yes Agency Health, Department of Title Investigative Specialist 1/ Investigative Specialist Trainee 1,2 (NY...or as an investigator responsible for conducting white collar, fraud , or similar investigations. Prior experience as a police… more
    New York State Civil Service (06/06/25)
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  • Medicaid Integrity Specialist 1/Trainee…

    New York State Civil Service (Albany, NY)
    …NYS Medicaid Program. The position is responsible for developing SQL algorithms to find fraud , waste, and abuse in the NYS Medicaid Data Warehouse, and ... Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NYHELPS) Occupational Category Other Professional Careers… more
    New York State Civil Service (06/05/25)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …Knowledge of medical billing requirements and ability to recognize insurance fraud / abuse strongly preferred. Work Days: Primarily days: evenings, rotating ... Job Summary: The Outpatient Administrative Specialist will perform standardized patient check-in and check-out procedures for a high volume of patients (in all… more
    SUNY Upstate Medical University (04/16/25)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE ... Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam + MethGuard CE Mastery Exam **Behavioral Traits Required:** +… more
    KPH Healthcare Services, Inc. (03/13/25)
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  • Medicaid Integrity Specialist 1/Trainee…

    New York State Civil Service (Albany, NY)
    …and healthcare compliance. Formed in 2006 to more efficiently use resources dedicated to fighting fraud , waste, and abuse , we are a small agency with a big ... Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 NY HELPS Occupational Category Other Professional Careers… more
    New York State Civil Service (06/06/25)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …Knowledge of medical billing requirements and ability to recognize insurance fraud / abuse strongly preferred. Preferred Qualifications: Bachelors Degree in ... Job Summary: The Outpatient Administrative Specialist position in the Rehabilitation Psychology department is responsible for processing referrals and… more
    SUNY Upstate Medical University (05/28/25)
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  • Specialist , EDI Technology

    Lincoln Financial (Albany, NY)
    …this opportunity. **Requisition #:** 74589 **The Role at a Glance** As a Specialist , EDI Technology, you will perform and deliver on routine assignments while ... phone, live video or in-person interview. Please contact Lincoln's fraud team at ###@lfg.com if you encounter a recruiter...the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse more
    Lincoln Financial (05/16/25)
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  • Alternative Investment Sales Specialist

    Lincoln Financial (Albany, NY)
    …#:** 74591 **The Role at a Glance** The Alternative Investment Sales Specialist Account Executive will develop, direct, implement, and maintain a business plan, ... phone, live video or in-person interview. Please contact Lincoln's fraud team at ###@lfg.com if you encounter a recruiter...the basis of job qualifications. We have a drug free work environment and we perform pre-employment substance abuse more
    Lincoln Financial (05/14/25)
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  • Clerical Specialist II

    SUNY Upstate Medical University (Syracuse, NY)
    …medical authorizations, billing requirements and the ability to recognize insurance fraud / abuse is strongly preferred. Experience with patient registration and ... Job Summary: A Clerical Specialist II will provide overall patient care and administrative support to Upstate Rehab Therapies where needed. Reports directly to the… more
    SUNY Upstate Medical University (05/11/25)
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