EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-NY-Albany

Fri, 25 Aug 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Commercial Medical Director - Work At Home - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Senior Compliance & Regulatory Professional - USA-NY-Albany

Thu, 23 Mar 2023 00:00:00 CDT

Compliance Lead - Remote - USA-NY-Albany

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Albany New York Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse s...

Regulatory Attorney - USA-NY-Albany

Wed, 07 Aug 2024 00:00:00 CDT

Albany office of a ******* Top Ranked Law Firm seeks regulatory attorney with 3-7 years of experience. The candidate should preferably have insurance or financial services supporting institutions ...

Complex Claims Specialist - Program Law - USA-NY-Tarrytown

Tue, 13 Dec 2022 00:00:00 CST

Complex Claims Specialist - Program Law Duties: The candidate performs a combination of duties in accordance with departmental guidelines. Manages an inventory of moderate to high complexity and expo...

Behavioral Health Medical Director - USA-NY-Albany

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Insurance Product Manager 2 - Medicaid - USA-NY-Albany

Sun, 25 Dec 2022 00:00:00 CST

Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intellig...

Medical Director-KY Medicaid - USA-NY-Albany

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Director of Business Operations - St. Margaret\'s Nursing Home - USA-NY-Albany

Fri, 17 Feb 2023 00:00:00 CST

The Center for Disability Services offers hope, innovation, and achievement to the people we support. For 80 years, we have been one of upstate New York\u2019s largest providers of programs and servic...

Grievances and Appeals Medical Director - Nationwide - USA-NY-Albany

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Manager, Compliance - Agent Investigation Unit - USA-NY-Albany

Sun, 23 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Albany New York Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance ...

Medical Director - Claims Management - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

This position reports to the Deputy General Counsel, GE Edison Works - USA-NY-Niskayuna

Thu, 04 May 2023 00:00:00 CDT

This position reports to the Deputy General Counsel, GE Edison Works Job Description Roles and Responsibilities Provide leaders, stakeholders, and colleagues with expert, practical legal and business ...

Compliance Professional 2 - Medicaid - USA-NY-Albany

Sat, 13 May 2023 00:00:00 CDT

Job Information Humana Compliance Professional 2 - Medicaid in Albany New York Description Responsibilities Healthcare isn't just about health anymore. It's about caring for family, friends, finances,...

Corporate Associate Attorney - USA-NY-Albany

Mon, 15 Jul 2024 00:00:00 CDT

A law firm in Albany, NY, is seeking a Corporate Associate Attorney with 5+ years of experience and significant competency in corporate, tax, trust and estates, and commercial matters. Preference w...

Land Use and Real Estate Attorney - USA-NY-Albany

Thu, 01 Aug 2024 00:00:00 CDT

A law firm in Albany, NY, is seeking a highly experienced Land Use and Real Estate Attorney to join its team. The ideal candidate will have extensive expertise in real estate development and specia...

Environment And Energy Associate Attorney - USA-NY-Albany

Mon, 05 Aug 2024 00:00:00 CDT

Job Overview: A law firm in Albany, NY, seeks an experienced Environment and Energy Associate Attorney to join their team. This role involves representing clients in various enviro...