- CVS Health (Trenton, NJ)
- …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
- Centene Corporation (New York, NY)
- …field, or equivalent experience. 4+ years of combined medical claim investigation , financial impact analysis, business analysis, compliance or fraud and abuse ... experience. Thorough knowledge of medical terminology. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical… more
- Humana (Trenton, NJ)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
- Hackensack Meridian Health (Edison, NJ)
- …with quality improvement projects. + Lead or conducts root cause analysis investigations . + Assure unit regulatory compliance. + Participate in staff ... into opportunities for recovery and success. The **Assistant Nurse Manager (ANM)** is a professional, registered nurse who is...utilization within the department. + Serves on-call based on unit requirements. + Assumes special projects as… more
- City of New York (New York, NY)
- …Units (FPP and FSU), Emergency Children's Services (ECS), and the Office of Special Investigations (OSI). DCP Protective/Diagnostic (PD) Units, within DCP, are ... immediately to protect the children. Under supervision of a Child Protective Manager , with wide latitude for independent judgement and decision-making, the Unit… more
- City of New York (New York, NY)
- …adversely affect the processing and integrity of cases. Data Analysis and Reporting unit staff analyze patterns of errors to identify corrective change in systems ... noncustodial parent of families who are on cash assistance. The Quality Control unit identifies root causes of inaccuracies in operations and work to drive changes… more
- Hackensack Meridian Health (Edison, NJ)
- …with quality improvement projects. 5. Lead or conducts root cause analysis investigations . 6. Assure unit regulatory compliance. 7. Participate in staff ... **Overview** The Assistant Nurse Manager (ANM) is a professional, registered nurse who...utilization within the department. 4. Serves on-call based on unit requirements. 5. Assumes special projects as… more
- The Metropolitan Museum of Art (New York, NY)
- …then evolve. GENERAL STATEMENT OF RESPONSIBILITES & DUTIES: As the Incident Response Manager and part of the Security Frontline Team, you will overtly and covertly ... activity by stopping threats before they manifest; manage the Special Officers; investigate; provide executive protection; facilitate security awareness training;… more
- City of New York (New York, NY)
- …AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPL The Research and Policy Development Unit (RPD), within the Office of Policy, Procedures, and Training, at the NYC ... Department of Social Services (DSS) Unit is the anchor that ensures that the most...wide latitude for independent decision and action, the Senior Manager of Policy Compliance will direct research, conduct high… more
- City of New York (New York, NY)
- … Unit , Emergency Children's Services (ECS), and the Office of Special Investigations (OSI). The Quality Assurance Unit which is part of the Jaden Reform ... to the Director of Quality Assurance, the Child Protective Manager will work with a team of four to...and control measures for assessment tools utilized in the unit - Prepare performance evaluations based on record reviews,… more
- MTA (New York, NY)
- Manager Pension Finance Report Job ID: 9144 Business Unit : MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: General ... Date Posted: Oct 16, 2024 Description JOB TITLE : Manager , Pension Finance Reporting SALARY RANGE : $92,700 -...date of hire. SUMMARY : In the Consolidated Pension unit , this position will provide support to the Assistant… more
- Research Foundation CUNY (New York, NY)
- …audit reports of findings and recommendations for corrective actions + Assist in special projects and confidential investigations as assigned + Other duties as ... Job Title: IT Manager of Internal Audit PVN ID: RF-2410-006507 Category:...campuses, RFCUNY oversees employment, accounting, audit, reporting, purchasing, and special responsibilities that include management of a planned giving… more
- MTA (New York, NY)
- Manager , Certification Program Job ID: 8781 Business Unit : MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office ... Date Posted: Nov 7, 2024 Description JOB TITLE : Manager , Certification Program SALARY RANGE : $85,058 - $90,000...denial of certification. + Assist in any and all special projects, outreach activities and development of reports, as… more
- Revlon (New York, NY)
- …Reporting, Planning); Wdesk/ Workiva; ERPs (SAP & JDE); Blackline; AuditBoard 12. Special Projects / Ad-hoc Support / Analysis **Major Duties:** 1. Financial Close ... organization. 13. Annual Impairment assessment - prepare balance sheet by reporting unit and coordinate with external valuation specialists and FP&A on financial… more
- Elevance Health (Woodbridge, NJ)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- HD Supply (Trenton, NJ)
- …of individual sales representatives which may be grouped by channel, market, product unit , etc. + Defines the sales process and develops efficient and creative sales ... + Manages and develops direct reports, including outside sales and special product sales. + Reviews performance management, identifies successful candidates, and… more
- City of New York (New York, NY)
- …THAT ARE REACHABLE ON THE LIST* Under the supervision of a Child Protective Manager , with wide latitude for the use of judgment and independent decision making, the ... Quality Assurance ("QA") Supervisor will work within a unit responsible for encompassing all areas of quality assurance...QA Supervisor will conduct on-going case reviews of open investigations , analyze child welfare case best practice across the… more
- Travelers Insurance Company (Manhattan, NY)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- City of New York (New York, NY)
- …In-House Design (IHD) Directorate consists of two units. The core IHD unit consists of seven engineering sections corresponding to the respective engineering ... are of the highest priority for the Agency. The second unit , Engineering Services, includes the Quality Assurance, Laboratory Services, Specifications/Standard… more
- Air National Guard Units (Mcguire AFB, NJ)
- …a probationary period Federal employment suitability as determined by a background investigation Males born after 31 December 1959 must be registered for Selective ... may require the selected candidate to be assigned to a *military unit * compatible with the full-time Military Technician (Dual Status) position. *Military … more