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The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
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The role requires expertise in BSA/AML, OFAC/Sanctions, regulatory compliance, and strong communication skills to effectively liaise with stakeholders and ensure timely completion of audit plans.
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Third Party Risk Management - Establish and maintain a robust third-party risk management framework to evaluate and monitor the compliance of vendors, suppliers, and partners. As the Compliance Program Manager, you will be responsible for overseeing and managing various compliance components, including Privacy, Third Party Risk, Export Compliance, Records Retention, Business Continuity, SOC reporting, and Risk Management.
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The Know Your Customer (KYC) Compliance Manager, performs a key risk management role (second line of defense) by ensuring that business lines deliver KYC strategies compliant with applicable anti-money laundering laws and regulations.
$168,700 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Working knowledge of Medicare, Medicaid and NYS DOH standards and regulations. Qualified candidates will have prior UAS/MLTC RN experience or a minimum of 3 years of Home Health RN experience, reliable transportation, a NYS RN License, prior community health, managed care and/or UAS assessment experience.
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In this position, you'll play a vital role in providing technical support for electrical matters, ensuring NERC compliance, and assisting with regional ISO (PJM, NEISO, and NYISO) technical requests.
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Try new things, learn new skills and discover what you excel at—all from Day One. Job DescriptionJob DescriptionThe Corporate Audit Services (CAS) Senior Audit Manager – International Compliance is a senior level management position that supports the Regulatory Compliance Audit Director/Senior Audit Director of the Risk Management and Compliance audit team.
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Minimum 2 years of work experience in some capacity associated with apparel production, product testing and/or factory compliance. Ongoing assurance of Factories/Supplier's adherence to different Brands/Retailers/Customers Social & Environmental compliance, Security Audit and Quality audit.
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The successful candidate will be responsible for the implementation and management of effective Bank Secrecy Act (BSA) and Anti-Money Laundering (AML) compliance programs for the bank ensuring compliance with all applicable regulations.
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The Global Head of AML Risk Management - Wealth reports to Citi's Chief Compliance Officer (CCO) Anti-Money Laundering (AML) / Bank Secrecy Act (BSA) and will be responsible for driving change and the primary face-off to the Wealth line-of-business, including providing thought leadership, direction and driving greater consistency in global program design and execution across our wealth management activities.
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The KS Radiation and Dosimetry Compliance Engineer will be responsible for the execution and oversight of several Radiation Health Programs. Being the System Administrator will require knowledge in radiation detections and measurement principles, with an emphasis on gamma spectroscopy.
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Meet or exceed objectives for reserving standards, quality audits, closing ratio, expense controls, Medicare compliance. The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization.
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The Medicare Sales Representative is involved with health education through the distribution of health ed. In addition, the Medicare Sales Representative provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
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Support the administering of the Corporate Compliance polices, including Code of Ethics and Conduct and Anti-Corruption policies; Support the onboarding of new employees into our Compliance program including, i) new hire access activation; ii) new hire training and disclosure form tracking; iii) tracking current employee statuses for certifications/access maintenance; and iv) tracking temporary workers.
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The department oversees compliance with external and internal rules that govern our banking and financial activities including Know Your Customer, anti-money laundering, anti-terrorism financing, sanctions & embargoes, client protection, market integrity, anti-bribery & corruption, and data protection.
$126,000 - $206,000 a yearFull-timeExpandApply NowActive JobUpdated Today
medicare compliance jobs Company: Metroplus Health Plan in New York, NY
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