Trabajos medicare compliance en New York, New York (NY) State

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emerg...

HEDIS Quality Reviewer/ Clinical Quality Reviewer .Shift :: 9:00am- 5:00pm (Hybrid) .The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities.This po...

Medicare, Medicaid, and HHS-administered grant programs) and transactional experience related to contracts between providers and vendors in compliance with federal fraud and abuse laws as well as participation agreements with managed care organizations or provider networks in compliance with fede...

The Chief Compliance Officer (CCO) will help oversee the company's ethics, compliance, and privacy initiatives. Compliance, Leadership, Multi-Entity Outpatient Healthcare. Coordinate with the Chief Legal Officer. Expertise in healthcare compliance, particularly Medicare and Medicaid reimbursement...

Under the direction of the Compliance Officer and Compliance Department management, the Compliance Auditor is responsible for working independently on assigned projects to ensure health plan compliance with Medicare (Part C and D), NYS Medicaid and MLTC regulations. ...

Lakeside Dental Management is seeking an experienced full-time medical biller to support an ambulatory surgery center. The ASC Medical Billing professional will also work closely with our team to ensure compliance with medical terminologies, denials, ICD-10 coding, and Medicaid, Medicare and comm...

Responsibilities Develop and support educational materials for medication adherence and chronic care management programs Ensure compliance with Medicare regulations and documentation requirements Provide comprehensive training to clinical staff, including onboarding and EMR utilization Evaluate s...

CHC, CCEP Preferred Professional Competencies * Strong knowledge and experience with managed care, Medicare regulations/requirements, operational process improvement and compliance oversight

CHC, CCEP Preferred Professional Competencies * Strong knowledge and experience with managed care, Medicare regulations/requirements, operational process improvement and compliance oversight

The Specialist will support Medicare regulatory implementations and the correction and remediation of compliance issues. The Medicare Regulatory Compliance Specialist will assist in driving overall ...

CHC, CCEP Preferred Professional Competencies * Strong knowledge and experience with managed care, Medicare regulations/requirements, operational process improvement and compliance oversight

Ensures regulatory compliance and timely processing for the Medicare and Medicaid appeal and grievance processes, quality of care concerns and any other inquires requiring clinical review for medical necessity, appropriateness of service or clinical quality. Sign-on Bonuses ORStudent Loan Assista...

Responsibilities of this Medical Director role are related to Medicare Appeals. Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look Review (SLR) process. Collaborative work with Medicare Quality and Compliance on an o...

Review bills for accuracy and completeness and obtain any missing information.Knowledge of insurance guidelines, especially Medicare and state Medicaid.Follow up on unpaid claims within standard billing cycle timeframe.Check each insurance payment for accuracy and compliance with contract.Handlin...

Reporting to the Senior Manager of Medicare Regulatory Compliance, the Medicare Regulatory Compliance Specialist will support the oversight and management of the Medicare Compliance Program. The Medicare Regulatory Compliance Specialist will assist in driving overall compliance with Medicare requ...

This Administrative Assistant position requires strong interpersonal skills, detail orientation, and unparalleled multitasking capabilities to perform a variety of administrative tasks, support our executive team, and maintain efficient office operations. Our client is looking for a proactive and...

For over 60 years, we have evolved with technology, customers, vendors and the communities in which we serve.Very little is the same as it was when we began, but the three core values we’ve carried throughout our legacy - Trust, Flexibility and Focus on the Customer - remain constant....

OverviewColliers Engineering & Design is seeking a Senior Project Manager who can provide client management and design and construction administration of water and wastewater projects. There will also be a requirement to manage, direct, and supervise the work efforts of assigned staff and coordin...

Job SummaryFreeWheel is hiring a Product Manager who will join the team working on cross-platform video advertising technology. A successful candidate will engage with clients, engineering, marketing, sales, services, and product management, while shaping the vision and definition around the next...

Four (4) years of experience must include: Re-designing operational, settlement, and order management flows, to improve settlement efficiency and product experience for clients; Conducting cost-benefit analysis of new product development utilizing data analytics in SQL, data visualization in Micr...

A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. ...

Prepare, maintain, organize, and track materials relating to our enterprise-wide compliance efforts, including policies and procedures, corporate filings, securities restricted list, privacy and enterprise-wide compliance information on the intranet, materials prepared by Compliance Coordinators ...

As part of the Firm’s growing program of work, the ISG Cross Divisional Programs Group –XPG is seeking a Program Manager to lead aspects of the broader XPG project portfolio across discretionary & mandatory projects Key Roles and Responsibilities Develop and manage all aspects of business analysi...

Datadog is seeking a Senior Diversity, Equity, and Inclusion Program Manager to implement solutions and initiatives that foster a diverse and inclusive working environment for Datadogs worldwide. This role requires a high level of expertise in data analysis and program management, with a flexible...