- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a Claims Quality Assurance & Audit Coordinator, Claims Shared Services to join ... support the development and execution of the North America Claims Quality Assurance and Compliance...international operations. Quality Assurance or audit related experience is required Other claims … more
- Elevance Health (Jersey City, NJ)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality… more
- City of New York (New York, NY)
- …but in service of them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of New York City for generations ... to learn more about the work we do. DCAS' Audit & Compliance Services unit (ACS) resides within the...costs associated with security guard services to help provide assurance that this program is operating within the stated… more
- City of New York (New York, NY)
- …but in service of them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of New York City for generations ... to learn more about the work we do. DCAS's Audit & Compliance Services (ACS) consists of the following:...costs associated with security guard services to help provide assurance that this program is operating within the stated… more
- Molina Healthcare (New York, NY)
- …health plans and internal functional teams to assure a smooth workflow exists, quality assurance measures are designed and monitored, appropriate hand offs are ... quality , cost control, timeliness and business relations * Assures an adequate quality assurance program and process are in place and strictly adhered to… more
- City of New York (New York, NY)
- …of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability Strategies ... Trusts is responsible for the settlement of liens and claims for recoupment of money expended in Medicaid and...the Estates Unit represents DSS and asserts liens and claims against recipients' assets for the recovery of benefits… more
- City of New York (New York, NY)
- …operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract ... - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,...and acquire the analytical, data mining, data matching, data quality , and data sharing methods and/or tools that drive… more
- City of New York (New York, NY)
- …Prevention Policy, Executive Order 85 d) Assist with the development of a quality assurance procedure/system for the Workplace Violence case management system ... a discussion of findings and conclusions. Conduct investigations of claims by DEP employees received through the Employee Concerns...(e) Perform regular quality assurance review of all Workplace Violence… more
- MTA (Jamaica, NY)
- …pertain to safety and operations. Responsible to direct risk management and safety assurance including research and analysis of changing LIRR, MTA, local, state, and ... focusing on the four pillars: Policies and Procedures, Hazard Assessment, Safety Assurance , and Safety Promotion and in compliance with the Federal Railroad… more
- City of New York (New York, NY)
- …family meets the criteria for FA or EAF funding; and staff's performance of quality assurance for Enterprise Data Warehouse (EDW) queries, and WMS look-ups. ... respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is… more
- Genesis Healthcare (Queens, NY)
- … audit functions and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. Responsibilities The Special ... within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training… more
- City of New York (New York, NY)
- …of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability Strategies ... and the Vendor Monitoring Office (VMO). The Supplemental Nutrition Assistance Program, Claims & Recovery (SNAP-CR) is a revenue producing, federally mandated program… more
- City of New York (New York, NY)
- …of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability Strategies ... on behalf of the Bureau of Fraud Investigation; Liens and Recovery; and Claims and Collections. Staff reviews cases, calculates cash assistance and food stamp grants… more
- Genesis Healthcare (Roosevelt, NY)
- … audit functions and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. Responsibilities A Licensed ... within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training… more