- Humana (Albany, NY)
- … compliance as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex ... situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional ( Medicaid State Reporting) will be responsible… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. ... The Senior Compliance Professional work assignments involve moderately complex to complex issues...+ _Manage, Organize and Monitor the internal Humana Ohio Medicaid mailbox_ + _Create reports, spreadsheets and Power Point… more
- Humana (Albany, NY)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Humana (Albany, NY)
- …company committed to improving the health of the communities it serves. The Senior Insurance Product Content Professional will oversee and manage projects for ... of providing frameworks to maximize available resources to achieve growth. The ** Senior Insurance Product Content Professional ** creates content for insurance… more
- University of Rochester (Rochester, NY)
- …requirements. + Collaborates closely with the Medical Center's Office of Integrity and Compliance , providing analysis and legal advice to senior leadership on ... the goals and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and services on complex… more
- City of New York (New York, NY)
- …the Office of Quality Assurance and Fiscal Integrity to aggressively monitor compliance with agency policy and the changes under welfare reform. PERT reviewers ... actions in the areas of Applications, Recertification and lawsuit compliance . PERT reviews are designed to ensure program ...Administrative Associate III to function as a CA PERT Sr . Case Reviewers, who will: - Conduct legally mandated… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance ( Professional Billing) Analyst who will primarily ... to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's...be responsible for tracking, trending, and analyzing professional billing (PB) contract compliance issues. This… more
- Humana (Albany, NY)
- …between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with department leadership, ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
- CenterWell (Albany, NY)
- …and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to ... in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy… more
- New York State Civil Service (NY)
- …initiatives. The Senior Administrative Analyst will also support monitoring and compliance efforts with the Division of State Operations (DSO) policies, perform ... Yes Agency People With Developmental Disabilities, Office for Title Senior Administrative Analyst Occupational Category Administrative or General Management Salary… more
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