- Hackensack Meridian Health (Edison, NJ)
- …HMH Enterprise. **Responsibilities** A day in the life of a ** Clinical Risk and Loss Prevention Specialist** at **Hackensack Meridian** **_Health_** ... and standards. + Develop Key Performance Indicators and Dashboard for Clinical Risk & Loss Prevention . + Provide litigation support to HMH Legal Team and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, ... analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and… more
- Elevance Health (Woodbridge, NJ)
- ** Clinical Fraud Investigator II - SIU Fraud &...matters of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on ... Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues...guidelines and to identify opportunities for fraud and abuse prevention and control. + Review and conducts analysis of… more
- Elevance Health (Woodbridge, NJ)
- …other internal areas on matters of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the ... ** Clinical Provider Auditor I - Carelon Payment Integrity**...processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis of… more