- Molina Healthcare (Yonkers, NY)
- …partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to ... quality care with improved outcomes through better coordination and...and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming… more
- Stryker (New York, NY)
- …outages in an expedited manner and minimize the disruptions experienced by the clinical staff + Record relevant data regarding a production issue, provide problem ... a permanent fix is not immediately available + Collaborate with the Quality Assurance department to communicate production related problems and coordinate the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines ... of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical… more
- Crouse Hospital (Syracuse, NY)
- …who maintains, reports, and updates quality improvement (QI) data for quality indicators consisting of clinical , statistical, and financial data. Analyze ... 4:00pm (No weekends/holidays). This position is fully on-site, not remote . Quality Improvement Analyst Responsibilities: + Cultivates...NYS DOH via NYPORTS. + Assists the Chiefs of Clinical Services in peer review process through… more
- UHS (Johnson City, NY)
- …continuous performance improvement efforts throughout UHS. Acts as a liaison between clinical and technical staff. Work Locations: Remote , Johnson City, NY ... Education and Experience Minimum Required + Bachelor's Degree in Nursing or relevant clinical field. + 2-3 years' experience with quality , patient safety, or… more
- CenterWell (Albany, NY)
- …our caring community and help us put health first** The Care Delivery Call Quality Professional works within the PCO Growth and Retention group. The Care Delivery ... Call Quality Professional will be responsible for auditing, training and...Sales, Retention, Patient Experience and Sales Operations leadership + Review and approve Sales and Retention Incentive Plan exceptions… more
- Parexel (Albany, NY)
- …trial conduct. + Medical responsibility as co-author for the development of a robust Clinical Quality Monitoring Plan (CQMP) in line with the critical data, ... of the activity, related findings and resolutions. + Execution of relevant clinical quality monitoring for Study Physician using aggregated data outputs… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted ... leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to… more
- Humana (Albany, NY)
- …team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical … more
- CenterWell (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more