- Excellus BlueCross BlueShield (Rochester, NY)
- …Federal Employee Program (FEP) and National Committee for Quality Assurance ( NCQA ) accreditation standards, as appropriate to the member's case assignment. ... Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the… more
- CDPHP (Latham, NY)
- …Federal Employee Program (FEP) and National Committee for Quality Assurance ( NCQA ) accreditation standards, as appropriate to the member's case assignment. ... Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …CMS, NCQA and BlueCross BlueShield Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal ... and all regulatory and accrediting standards including NYS DOH, CMS, FEP and NCQA formal accreditation activities. Keeps abreast of changes and responsible for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you, we encourage you to apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare Part D formulary creation ... while ensuring the longevity of the Plan's Part D program . Essential Accountabilities: + Develops and maintains the Part...and state regulatory agencies (CMS, DOH, DFS, etc.) and/or accreditation agencies ( NCQA , BCBSA) is preferred, but… more
- Molina Healthcare (Albany, NY)
- …* Participates in preparation for national committee for quality assurance ( NCQA ) and utilization review accreditation commission (URAC) certifications. * ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Whitney Young Health Center (Albany, NY)
- …with local, State, and Federal regulation, ie DHHSHRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adhere to the ... guidelines, policies and procedures. The Staff Pharmacist will also support the Pharmacy Manager in leading and directing the pharmacy team, by being accountable and… more