- City of New York (New York, NY)
- …Within DSS-AO, resides an area called the Office of Quality Assurance & Fiscal Integrity , the Medicaid Quality Control Unit (MAQC). They conduct complex internal ... DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New...Reviewers in their eligibility review findings. - Assist the Medicaid Audit and Quality Control director with… more
- New York State Civil Service (Syracuse, NY)
- …ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, ... legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers,… more
- New York State Civil Service (New York, NY)
- …ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, ... legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers,… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director , Clinical and Revenue Integrity Operations is responsible for the oversight and management of our team of Revenue ... Integrity and DRG Auditors. Drawing on clinical and technical...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Diversicare Healthcare Services & Diversicare Ther (Jackson, MS)
- …RAI process + Identification and resolution of data integrity issues + Medicare, Medicaid and Managed Care program requirements + Medicare, Managed Care and ... RAI, Medicare, Medicaid and Managed Care processes to facilitate compliance, integrity and accurate reimbursement. 2. Train and consult with center staff and… more
- CVS Health (IL)
- …CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work from home opportunity. The ... Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department… more
- City of New York (New York, NY)
- …for Medicare, identifying Medicaid clients who should be part of buy-in program , and identifying SDOH Medicaid clients who should no longer have benefits. ... Services Accountability Office (DSS-AO) is responsible for supporting the integrity of social services programs administered by the New...Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee… more
- HCA Healthcare (Richmond, VA)
- …healthcare management experience) or current participant in the Parallon Director Trainee Program . Hospital Accounting/Finance experience strongly preferred. ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...We care like family! Jump-start your career as a Director of Finance today with Parallon. **Benefits** Parallon, offers… more
- The Arc Erie County NY (Williamsville, NY)
- …for over 65 years. Position Now Available at The Arc Erie County NY: Associate Director (AD) of Outreach Full Time, 40 hours per week, Monday - Friday Overview The ... not for profit local agency helping people with developmental disabilities. Our Associate Director of Outreach position plays a key leadership role in managing and… more
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