• Claim Audit Quality

    CVS Health (Albany, NY)
    …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
    CVS Health (10/16/25)
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  • Senior Claims Specialist

    Axis (New York, NY)
    …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
    Axis (09/23/25)
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  • Inpatient Clinical & Coding Specialist

    Independent Health (Buffalo, NY)
    …knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on… more
    Independent Health (10/04/25)
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  • Contract Management Specialist 1

    New York State Civil Service (NY)
    …and write contracts for Self-Direction and Supportive Employment.* Write, monitor and audit ATECH/VMOD/EMOD service contracts.* Process and review claims for ... Agency People With Developmental Disabilities, Office for Title Contract Management Specialist 1 Occupational Category Other Professional Careers Salary Grade 18… more
    New York State Civil Service (10/16/25)
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  • Pharmacy Revenue Cycle Specialist - Full…

    Mohawk Valley Health System (Utica, NY)
    Pharmacy Revenue Cycle Specialist - Full Time - Days Department: 340B CONTRACT PHARMACY Job Summary The Pharmacy Revenue Cycle Specialist supports comprehensive ... the enterprise. Core Job Responsibilities + Investigates, tracks, and resolves drug-related claim denials and billing exceptions across multiple sites of care. +… more
    Mohawk Valley Health System (09/25/25)
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  • Compliance Specialist

    Shinda Management Corporation (Queens Village, NY)
    …required processing and reviewing EIV reports/corrections, repayment agreements, and process special claims + Pre- audit LIHTC/HUD and HOME tenant files for all ... Compliance Specialist About the Organization For over three decades,...decades, SMC has been in the forefront of proven, quality real estate property management services in the New… more
    Shinda Management Corporation (10/15/25)
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  • QA/QI Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    …Job Brief The QA/QI Review Specialist is responsible for completing internal ... our constituency to include supportive housing. POSITION SUMMARY The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
    Constructive Partnerships Unlimited (08/01/25)
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  • Eligibility Verification Specialist

    City of New York (New York, NY)
    …respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is ... (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist , who will: - Review and provide documentation for: Safety Net cases… more
    City of New York (10/13/25)
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  • Denial Management Specialist , Department…

    BronxCare Health System (Bronx, NY)
    …and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations ... Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff… more
    BronxCare Health System (09/19/25)
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  • Payroll Specialist

    Shake Shack (New York, NY)
    …Join us and Be a Part of Something Good. Job Summary The Payroll Specialist processes pay (multi state) for the staff at multiple Shake Shack locations throughout ... payments (direct deposits, check and Global Card). + Responds to Unemployment claims and workers comp inquiries. + Coordinates payroll related information workflow… more
    Shake Shack (10/07/25)
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