- Evolent (Albany, NY)
- …This role involves managing data from various healthcare systems, ensuring data quality , and enabling data accessibility for analysis and decision-making. **What You ... to ensure it meets the highest standards of data quality and performance. + Quickly identify gaps in team...as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing… more
- Humana (Albany, NY)
- …the markets. Improve the understanding of Market needs within IT and ultimately the quality of delivery by representing the Market in IT forums. + Regular Meetings: ... processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations;… more
- Parsons Corporation (New York, NY)
- …ensure proper contract administration, payments certification, variations administration and claims management. + Proactive approach to risk identification and ... societies to keep abreast of relevant contractual issues. + Draft high quality and professional contractual notices + Performs other responsibilities associated with… more
- Independent Health (Buffalo, NY)
- …**Overview** The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims , membership, and cost data in support of Network Contract ... alternative reimbursement models, improve Independent Health's ability to deliver high quality , high value care, provide management with the ability to assess… more
- Project Renewal, Inc. (New York, NY)
- …services programming. Ensures that the Director of Social Services and staff provide quality care to the clients and ensures comprehensive as well as individualized ... state and city audits as well as any legal claims or lawsuits filed by clients and staff. +...the program. Must collaborate with our Performance Evaluation and Quality Assurance Department (PEQA) and develop/ exhibit the ability… more
- Walgreens (East Meadow, NY)
- …is accountable for workflow management, clinical management of patients, continuous quality improvement, adherence to policy and procedure, compliance with internal ... adheres to Company policies and procedures relating to prescription incidents and the Quality Improvement Program. + Complies with all federal and state laws and… more
- Walmart (Watertown, NY)
- …in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise; ... and securing fragile and high-shrink merchandise. Monitors food and merchandise quality by ensuring product rotation, code dating, product recalls, and sanitation… 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 ... employees. 2. Describe responsibility:Contributes to and participates in the Performance/ Quality Improvement activities of the assigned department. Contribution and… 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
- WTW (New York, NY)
- …and key clients internally and externally, create client deliverables, and ensure quality standards are met. You will have the opportunity to significantly grow ... day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare… more