• Assistant Audit Manager

    City of New York (New York, NY)
    …CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Bureau of Audit Services plays a leading role in risk-based assessments of the Department's ... Innovation's policies. Position Summary: DOHMH is seeking an Assistant Audit Manager to join the Bureau of Audit...all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review… more
    City of New York (05/30/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources...Associate Fraud Investigator II to function as a Group Supervisor , who will: - Oversee two investigative units engaged… more
    City of New York (03/26/25)
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  • Data Control Unit Supervisor

    City of New York (New York, NY)
    …for (1) one Principal Administrative Associate III to function as a Data Control Unit Supervisor , who will: - Perform final review and signs off on cases prepared by ... records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC,… more
    City of New York (05/14/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    … findings with an objective for maximizing potential Federal and State reimbursement claims . - Discuss critical issues with supervisor and staff and suggest ... respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is… more
    City of New York (05/14/25)
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  • XDT Market Supervisor

    Lowe's (Syracuse, NY)
    **Your Impact at Lowe's** As a Market Delivery Supervisor , you'll be the driving force behind the seamless operation of our delivery services, leading a team that ... problem-solving efforts, and enhance customer delivery experiences. + Solve problems, audit the business, identify trends, and collaborate with third-party delivery… more
    Lowe's (05/24/25)
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  • Operation Supervisor

    City of New York (New York, NY)
    …of Homeless Services (DHS). AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division ... on behalf of the Bureau of Fraud Investigation; Liens and Recovery; and Claims and Collections. Staff reviews cases, calculates cash assistance and food stamp grants… more
    City of New York (03/14/25)
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  • Collections and Eligibility Specialist - Clinic

    YAI (Manhattan, NY)
    …Functions & Responsibilities + Reviews and interprets patient eligibility and claims data from various sources (explanation of benefits, remittance statements, ... collections reports, etc.) to assess the correctness of claims submitted for processing, identifying and communicating discrepancies, issues and/or missing… more
    YAI (05/23/25)
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  • Staff Auditor

    City of New York (New York, NY)
    …Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered to ... complies with all statutory, regulatory, and contractual standards. The Office of Audit Services (OAS) is responsible for the assessment of operational risk within… more
    City of New York (06/06/25)
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  • Auditor 1 or Trainee 1 or 2 (Nyhelps)

    New York State Civil Service (Albany, NY)
    …No Compressed workweek allowed? Yes Telecommuting allowed? Yes County Albany Street Address Audit and Quality Improvement 40 North Pearl Street City Albany State NY ... of Temporary and Disability Assistance (OTDA) reimbursement of districts' claims for payment of the expenditures of the service...providers;* Work with program areas and budget on fiscal audit issues; * Prepare for and participate in … more
    New York State Civil Service (05/29/25)
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  • Senior Benefit Operations Specialist

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates client benefit needs ... Expected to partner with necessary entities in order to effectively input, audit and adjust within the adjudication platform. **Job Summary:** Perform day-to-day… more
    KPH Healthcare Services, Inc. (04/18/25)
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