Top 6747 Reimbursement manager Jobs in New York, Ny

Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)
Amgen —New York, NY
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
Learning Design & Impact Specialist
MJHS —New York, NY
- $90,000 - $105,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Field Reimbursement Manager - Neurology (New York, Metro)
Regeneron —New York, NY
- $165,600 - $209,600 a year
- 5 years
- Bachelor's degree
- Neurology
- Disability insurance
- Health insurance
Operations Training Manager, NYC & Central Region
Hermès Paris —Manhattan, NY
- $90,000 - $110,000 a year
- Full-time
- Microsoft Excel
- Writing skills
- Bachelor's degree
- Profit sharing
- Paid parental leave
Billing Manager
White Plains Hospital —White Plains, NY
- $69,996.42 - $105,006.33 a year
- Full-time
- Bachelor of Science
- Mid-level
- Microsoft Office
Manager, Learning Solutions
RWJBarnabas Health Corporate Services —West Orange, NJ
- $121,441 - $157,873 a year
- Full-time
- 6 years
- Office
- Analysis skills
- Paid parental leave
- Paid holidays
13d
iOS Engineering Manager, CNBC
Versant Media —Englewood Cliffs, NJ
- $175,000 - $190,000 a year
- Email
- Hybrid work
- 7 years
- Office
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
Education- Special Needs Manager
Puerto Rican Family Institute Inc —Bronx, NY
- $99,000 a year
- Urgently hiring
- Experience working with individuals with disabilities
- Teaching Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Operations Manager - PACE Program (Care Delivery Manager)
CenterLight Health System —Queens, NY
- $126,000 - $132,000 a year
- Full-time
- Bilingual
- Nursing
- RN License
- Paid training
- Commuter assistance
13d
Plant Manager
Pilot Chemical Co. —Avenel, NJ
- $140,000 - $195,000 a year
- Full-time
- Microsoft Word
- Background check
- Bachelor of Science
- Health savings account
- Health insurance
Quick Apply
Experimentation Manager, CNBC & MS NOW
Versant Media —New York, NY
- $110,000 - $130,000 a year
- Email
- Hybrid work
- 5 years
- Office
- SQL
- Health insurance
- Dental insurance
Quick Apply
Psychiatrist - Collaborative Care
Physician Affiliate Group of New York —Bronx, NY
- $267,900 - $278,200 a year
- Full-time
- Psychiatry
- BC/BE
- Internal Medicine
- AD&D insurance
- Loan repayment program
Quick Apply
Associate Manager, Financial Planning
MissionSquare —New York, NY
- $84,880 - $127,330 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- 401(k)
- Tuition reimbursement
Manager, Technical Accounting & Policy
Versant Media —Englewood Cliffs, NJ
- $90,000 - $125,000 a year
- Email
- Hybrid work
- CPA
- Research
- Office
- Health insurance
- Dental insurance
Quick Apply
Care Manager at TCC - Bilingual English/Spanish
TRI-COUNTY CARE LLC —Westbury, NY
- $24.25 - $34.00 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Travel reimbursement
- Disability insurance
Grant Accountant Manager
Black Veterans For Social Justice Inc —Brooklyn, NY
- $85,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Management
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Senior Project Manager - Construction
Wetlands Incorporated —Saddle Brook, NJ
- From $110,000 a year
- Full-time
- Construction site
- 8 years
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Experimentation Manager, CNBC & MS NOW
Versant Media —Englewood Cliffs, NJ
- $110,000 - $130,000 a year
- Email
- Hybrid work
- 5 years
- Office
- SQL
- Health insurance
- Dental insurance
Quick Apply
Sr. Manager, Transformation Enablement & Readiness
Versant Media —New York, NY
- $160,000 - $175,000 a year
- Email
- Hybrid work
- 7 years
- Continuous improvement
- Senior level
- Health insurance
- Dental insurance
Quick Apply

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Corporate Ethics & Compliance Investigator

Centene -
New York, NY

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
State healthcare regulations

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

reimbursement manager jobs in new york, ny

Corporate Ethics & Compliance Investigator

Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)

Learning Design & Impact Specialist

Field Reimbursement Manager - Neurology (New York, Metro)

Operations Training Manager, NYC & Central Region

Billing Manager

Manager, Learning Solutions

iOS Engineering Manager, CNBC

Education- Special Needs Manager

RN Clinical Operations Manager - PACE Program (Care Delivery Manager)

Plant Manager

Experimentation Manager, CNBC & MS NOW

Psychiatrist - Collaborative Care

Associate Manager, Financial Planning

Manager, Technical Accounting & Policy

Care Manager at TCC - Bilingual English/Spanish

Grant Accountant Manager

Senior Project Manager - Construction

Experimentation Manager, CNBC & MS NOW

Sr. Manager, Transformation Enablement & Readiness

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