- New York State Civil Service (Albany, NY)
- …HELP No Agency Corrections and Community Supervision, Department of Title Investigative Counsel Occupational Category Enforcement or Protective Services Salary ... (OSI) is seeking qualified candidates for consideration to serve as an Investigative Counsel , in OSI assigned to OSI's new Quality Assurance Team. OSI's… more
- Molina Healthcare (Albany, NY)
- …may also work with other internal departments, including Compliance, Corporate Legal Counsel , and Medical Officers in order to achieve and maintain appropriate ... and recommendations and preparation of overpayment identifications and closure of investigative cases. + Completes investigations within the mandated period of time… more
- CVS Health (Albany, NY)
- …to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel , providers, state regulators, etc. + Review and discuss cases with ... apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify… more
- CVS Health (Albany, NY)
- …to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel , providers, state regulators, etc. - Review and discuss cases with ... Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing… more