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About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Certified Anti-money laundering Compliance Specialist (CAMS) 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 3 days ago - UpvoteDownvoteShare Job
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Environmental Compliance Field Monitor will monitor and report on construction-related activities with respect to the general permit requirements of the Bureau of Land Management, the client, and other cooperating/permitting agencies; as well as monitor and report on construction-related activities in areas of pre-determined biological resources.
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Medicare or Medicare Advantage payment integrity or claims operations experience; preferred. Prepare response letters to deliver our decisions to members and/or providers within the regulatory timeframes set forth by the Centers for Medicare & Medicaid Services (CMS.
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Track and report on training metrics using LMS reports and PowerBI training dashboard for accurate reporting to Head of FCC Compliance, BSA/AML Officer, Senior Management and Head Office. The Training VP assists with the execution of the Financial Crimes Compliance (FCC) training program for SMBC America’s Division (AD.
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Applies advanced knowledge of regulatory and accreditation standards such as The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Health Resources and Services Administration (HRSA) to ensure continued compliance in all matters pertaining to professional staff services.
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Support general corporate matters (such as maintaining organizational charts, periodic JV compliance support, review and analysis of JV related agreements). Assist with ongoing compliance with contractual obligations and requirements.
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Reporting to the Associate Director of Community Justice Initiatives, the Intake and Compliance Specialist will be responsible for an array of tasks including intake, monitoring participant scheduling, and community engagement activities.
$27.48 - $30.22 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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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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We are looking to hire an experienced audit professional to perform regulatory compliance audits with a particular focus on BSA/AML, Sanctions, and banking regulations. Experience of performing regulatory and compliance audits and processes within a banking or financial services industry.
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Inspection and Compliance Specialist/ SM. Ensure compliance with all applicable federal and state health and safety regulations and ensures necessary records are maintained and prepared according to established guidelines.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Experience in managing a team of compliance professionals at several different levels (Associate/Specialist, Compliance Officer/Manager, etc.) Reporting directly into our Chief Compliance Officer, this is an excellent opportunity to occupy a crucial Compliance leadership role where you'll be able to utilize your expertise while taking on the challenge of building out a Compliance Monitoring and Testing program at a rapidly growing cryptocurrency/digital asset firm.
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Understanding of NERC Transmission Protection Standard and Compliance. The P&C Electrical Engineer / Relay Protection Engineer - Works with compliance team on up keeping NERC and CIP Compliance standards.
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The Compliance Specialist, ADA / Title VI / Environmental Justice position provides support to two Directors (Director, ADA Compliance (Americans with Disabilities Act) and Director, Title VI / Environmental Justice Compliance.
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medicare compliance jobs Title: compliance specialist Company: Metroplus Health Plan in New York, NY
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