Top 34 fraud analyst Jobs in brooklyn ny

Regulatory and Compliance Analyst
Silver Rod Drugs —Brooklyn, NY
- $71,819.54 - $86,492.35 a year
- Full-time
- Background check
- HIPAA
- Research
- Health insurance
- Paid time off
Quick Apply
10d
AML Operations Analyst
Ramp —New York, NY
- $100,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Continuous improvement
- Travel reimbursement
- AD&D insurance
Senior Analyst, Fraud Detection
Financial Industry Regulatory Authority, Inc. —New York, NY
- $72,400 - $155,100 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid jury duty
- Commuter assistance
Quick Apply
Staff Auditor/Analyst
State of New York - MTA Inspector General, Office of —New York, NY
- $78,000 - $83,900 a year
- Full-time
- Background check
- Writing skills
- Mid-level
Senior Data Analyst - Fraud Strategy & Operations
Raisin —New York, NY
- $120,000 - $140,000 a year
- Remote
- 8 years
- SQL
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
14d
Senior Auditor/Analyst
State of New York - MTA Inspector General, Office of —New York, NY
- $85,000 - $91,978 a year
- Full-time
- Background check
- Writing skills
- Mid-level
AML Analyst
Onyx Games LLC —New York, NY
- $80,000 - $120,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
AML Operations Analyst
Ramp Financial —New York, NY
- $100,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Continuous improvement
- Travel reimbursement
- AD&D insurance
Associate Principal Analyst, Fraud Detection
Financial Industry Regulatory Authority, Inc. —New York, NY
- $83,900 - $180,400 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Paid jury duty
- Commuter assistance
Quick Apply
Internal Fraud Reporting & Insights Analyst
American Express —New York, NY
- $65,500 - $102,500 a year
- Full-time
- Hybrid work
- 5 years
- Finance
- Master's degree
- Paid parental leave
- Health insurance
8d
Regulatory and Compliance Analyst
EZ CARE RX INC —New York, NY
- $39 an hour
- Part-time
- HIPAA
- Research
- Mid-level
Quick Apply
Senior Sales Audit Analyst
Louis Vuitton —New York, NY
- $80,000 - $90,000 a year
- Mid-level
- Office
- Finance
- Disability insurance
- Health insurance
Fraud & Chargeback Analyst
Michael Kors —East Rutherford, NJ
- $70,000 - $80,000 a year
- Full-time
- Research
- Mid-level
- SQL
- Wellness program
- Commuter assistance
Senior Analyst, Data Analytics, SIU
Oscar Health —New York, NY
- $86,628 - $109,761 a year
- Overtime
- Remote
- Writing skills
- Mid-level
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
5d
Fraud and Risk Analyst 2
Intuit —New York, NY
- $123,500 - $167,500 a year
- Mid-level
- Office
- SQL
1d
Staff Fraud and Risk Analyst - Fintech
Intuit —New York, NY
- $176,500 - $238,500 a year
- On call
- 5 years
- Mid-level
- SQL
7d
Investigations, Disputes & Economics Summer Analyst New York
AlixPartners —New York, NY
- $40 - $50 an hour
- Seasonal
- Hybrid work
- Writing skills
- English
- Office
Fraud Rules Senior Analyst - Assistant Vice President
Morgan Stanley —New York, NY
- $85,000 - $140,000 a year
- Full-time
- Research
- Mid-level
- 3 years
Principal Fraud and Risk Analyst - Fintech
Intuit —New York, NY
- $150,500 - $204,000 a year
- 5 years
- SQL
- Analysis skills
1d
Compliance Analyst - FCM (Futures Commission Merchant)
CME Group —New York, NY
- $73,300 - $122,100 a year
- Full-time
- Mid-level
- Finance
- Bachelor's degree
- Health insurance
- 401(k)

I want to receive the latest job alert for fraud analyst in brooklyn ny

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

fraud analyst jobs near brooklyn ny

Regulatory and Compliance Analyst

Silver Rod Drugs
Brooklyn, NY

Quick Apply

Job Details

Full-time
$71,819.54 - $86,492.35 a year
10 days ago

Benefits

Health insurance
Paid time off

Qualifications

Medicare
HIPAA
Bachelor's degree
Pharmacy
Internal audits

Full Job Description

Job Summary
We are seeking a proactive and detail-oriented Regulatory and Compliance Analyst to join our dynamic team. This position offers an exciting opportunity to contribute to a mission-driven organization dedicated to maintaining the highest levels of compliance and quality assurance.

Responsibilities

Help the pharmacist keep continuous process update with new compliance initiatives.

· Assist Pharmacist in reviewing Center of Medicare & Medicaid service (CMS) prescription data claims as well as from third party insurance providers.

· Ensure Pharmacy is compliant with all regulatory, legal and statutory requirements set forth by state and federal governments

· Making sure biannual licensure renewals and required continuous educations programs specific to retail pharmacy practice. In addition, conspicuous display of all mandated certifications/license/registrations to the public and onsite visits.

· Assist Pharmacist in developing new methodologies for effective prescription data entry, central claims for immediate retrieval of records.

· Apply initiatives from Department of environmental conservation (DEC) to help retail pharmacies prevent violations and protect public health and the environment.

· Assists in maintain the inventory record of CII, CIII, CIV and CV drugs.

* Assure overall regulatory compliance promoting continuous improvement in our internal audit process and risk assessment affecting our business by coordinating all bits and pieces of our pharmacy research.

· Draft Policy and Procedure (P & P) manual for Pharmacy to perform internal audit and to achieve regulatory compliance.

· Record and maintain annual inventory of controlled substances in addition to developing real time inventory check after each dispensing.

· Develop Policy & Procedure for conducting Medication Therapy Management sessions and Mirixa health care services to improve medication adherence and improve pharmacy star-rating.

* Support the research component of the pharmacy department through development of automated processes and reporting, targeted to improve efficiency and ensure compliance of health plan policy/procedures and regulatory standards.

Implementation of system-wide programs, policies, and procedures to ensure system compliance with applicable federal and state laws and regulations

· Generated a report file to securely maintain Prescription Drug Monitoring program (TX PMP) in order to screen potential drug abuse/illegal activity along with automated submission to TX board of Pharmacy & DEA.

· Retrospective data analysis of prescribing patterns of primary care providers.

· Complete annual CMS review and continuous updates for Durable medical equipment (DME) regulations as per the state.

o Develop operating procedures ensuring corrective and preventive action.

· Develop quality assurance techniques to ensure safe and effective inventory control system.

· To prevent Fraud, Waste and Abuse (FWA) by literature research on dosing codes along with diagnosis codes to substantiate the claims.

· Develop and maintain the standard operating procedures (SOP) for retail pharmacy.

· To make protocols for Dispense As Written (DAW) codes in accordance with state legislature.

· Draft new procedures for preventative action when conducting Medication Therapy management sessions as well as documentation of root cause analysis.

o Provide the required State, Federal, Medicaid and Medicare laws compliance support and assist in the DEA regulations compliance including bringing together the documentation of expired controlled substance and the inventory management of control substance consistent with the strategic plan of the company.

· Strict maintenance of HIPPA regulations and updating in a timely manner, Maintaining Office of Inspector General (OIG) checklist for employees and vendors and reporting any exclusion list.

· Ensuring compliance with new rules, regulations as set forth by the DEA, Centers for Medicaid and Medicare Services, New York state board of pharmacy and other state and Federal laws and regulations.

· Maintain Up to date Standard Operating Procedures (SOP) for handling of prescriptions, filling prescriptions, storage of medications, Refrigerator logs, Daily logs, controlled substance storage.

· Review and assist pharmacists with DEA-106 forms for loss or theft of federal controlled substances.

o Assist in the internal audit of our overrides, billing over-dues, coordinating the diagnostic codes entered in the system regarding use of prescription and non-prescription drugs.

· Timely review of Unbilled and under-payed prescription claims from Centre of Medicaid and Medicare claims (CMS) and third party payers.

· Working along with Elevate Provider Network regarding the medication reconciliation and identifying potential MTM opportunities by using MTM outcomes.

· Internal auditing of the overrides and the DUR codes used in billing in Prime Rx.

· Maintaining the use of proper HCPCS codes and ICD-10 diagnosis codes used in billing the EMEDNY and EPACES.

o Involve in the procedures of review of third party audit, monitoring drug recall and product recall.

· Making sure any and all overpayment will be refunded to the appropriate third-Party plan, Medicaid or CMS program within 60 days as per Affordable Care Act 2010.

· Monitor Food and Drug Administration (FDA) periodically for voluntary medication recall, the most effective way to protect public from defective or detrimental products.

Bachelor's Degree is required in Pharmacy or Drug Regulatory Affairs or Pharmaceutics.

Pay: $71,819.54 - $86,492.35 per year

Benefits:

Health insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

fraud analyst jobs in brooklyn ny

Regulatory and Compliance Analyst

AML Operations Analyst

Senior Analyst, Fraud Detection

Staff Auditor/Analyst

Senior Data Analyst - Fraud Strategy & Operations

Senior Auditor/Analyst

AML Analyst

AML Operations Analyst

Associate Principal Analyst, Fraud Detection

Internal Fraud Reporting & Insights Analyst

Regulatory and Compliance Analyst

Senior Sales Audit Analyst

Fraud & Chargeback Analyst

Senior Analyst, Data Analytics, SIU

Fraud and Risk Analyst 2

Staff Fraud and Risk Analyst - Fintech

Investigations, Disputes & Economics Summer Analyst New York

Fraud Rules Senior Analyst - Assistant Vice President

Principal Fraud and Risk Analyst - Fintech

Compliance Analyst - FCM (Futures Commission Merchant)

I want to receive the latest job alert for fraud analyst in brooklyn ny

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected