- Molina Healthcare (NY)
- …corporate function supporting compliance activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a… more
- Nuvance Health (Poughkeepsie, NY)
- *Description* *Must Reside in **AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI , MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA* Nuvance Health has a network ... clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance . *Responsibilities:* * Perform ICD-10- CM/PCS to maintain an accurate database… more
- TEKsystems (New York, NY)
- …and final claims based on the respective guidelines for allowable limits * Reviews MI claim Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and ... Claims ensuring all allowable advances and interest are recovered from the MI companies and/or Insurer. * Monitors pre/post conveyance processes on government loans… more
- Lumen (Albany, NY)
- …and Securities. The ideal candidate will be responsible for ensuring regulatory compliance and driving strong internal partnerships and effectiveness with Board and ... role involves overseeing corporate policy, monitoring business practices, and ensuring compliance with internal and external regulations. The ideal candidate will… more