• Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG coding for hospital or ... addition to Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG coding for hospital… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Business Analyst

    Elite Enterprise Resources (Albany, NY)
    …business requirements, and project process documentation, training plans, test plans, quality assurance and contingency operations plans, and reports. This ... Business Analyst Albany , New York , United States...day to day tasks to be performed by the Consultant (be descriptive and specific): This position will develop… more
    Elite Enterprise Resources (10/14/25)
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  • Medical Analyst : Legal Nurse,…

    New York State Civil Service (New York, NY)
    …investigations related to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, ... No Agency Attorney General, Office of the Title Medical Analyst : Legal Nurse, Fraud/Patient Abuse (6413) Occupational Category Legal...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
    New York State Civil Service (11/19/25)
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  • Deputy Assistant Director - Asset Management

    City of New York (New York, NY)
    …quantity of materials needed to replace those assets in kind. They also conduct Quality Assurance (QA) checks of consultants' field survey data. The quantities ... the Department of Design and Construction's Buildings Assessment Unit, OMB's AIMS survey consultant and the City Agencies. - Management of the AIMS consultant more
    City of New York (12/07/25)
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