- Rochester Regional Health (Rochester, NY)
- …plays a pivotal role in enhancing patient safety and improving the quality of care within the organization while limiting organizational risk. This individual ... + Collaborate with clinical staff, leadership, and other departments ( Quality , Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics,… more
- BronxCare Health System (Bronx, NY)
- …and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations ... and its employees. - Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and participation… more
- BronxCare Health System (Bronx, NY)
- …and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations ... and its employees. - Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and participation… more
- Walmart (Utica, NY)
- …are aligned with company and regulatory standards for prescriptions and claims doctor and optician certificationslicensure and associate training Guides associates ... to new initiatives Effectively recruits doctors in partnership with Market Directors Quality Patient Care Facility Creates a culture of patient care safety and… more
- Parker Hannifin Corporation (Clyde, NY)
- …criteria. + May complete supplier certification as part of a technical and/or quality team. + Purchases parts, equipment, and materials by preparing request for ... items or items of limited scope and complexity and negotiates price, delivery, quality and service. + Develops alternate sources of supply by identifying and… more
- Molina Healthcare (New York, NY)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. * Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …points of significant impact or potential areas for impactful program development ( quality of care and controlling costs). + Willingness to develop relationships ... of the health care system and experience working with physician or hospital claims /group data preferred. In depth knowledge of product and member desirable. +… more
- Trinity Health (Clifton Park, NY)
- …This position is located at 1735 US 9 Clifton Park, NY. **Position Highlights:** Quality of Life: Where career opportunities and quality of life converge. ... Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties...+ Works cooperatively with all team members to ensure quality patient care at all times. + Communicates respectfully… more
- Option Care Health (Albany, NY)
- …documentation for all authorizations + Collaborate with billing and claims teams to resolve any authorization-related issues **Supervisory Responsibilities** Does ... expectations. + Must be detail-oriented and have a high degree of quality focus. **Travel Requirements: (if required)** N/A **Preferred Qualifications & Interests… more
- Guardian Life (New York, NY)
- …north-star metrics (eg, straight-through-processing %, cycle-time reduction, cost-to-serve, accuracy/ quality , call deflection) and track value realization with ... cases (classification, OCR/layout understanding, entity/table extraction, summarization) across underwriting, claims , and customer service. + Design and ship retrieval-augmented… more