- Molina Healthcare (Albany, NY)
- …Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina's Prospective and Retrospective Interventions. Provides technical, ... and resolutions. + Design and lead development of tracking system for risk scores for all intervention outcome and...+ Act as a subject matter expertise by following CMS /State regulations related to Risk adjustment Analytics and provide… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies… more
- Humana (Albany, NY)
- …Medicare and/or managed care + 3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system experience + 1 or ... more years of experience understanding of Consumer / Patient Experience + 2 or more years of experience building relationships with physician groups and influencing execution of recommended strategy + 1 or more years of experience with focus on process and… more
- Nuvance Health (Rhinebeck, NY)
- *Description* At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and ... (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid Services ( CMS ) - 5 Star Rating At Northern Dutchess Hospital, we pride ourselves on a… more
- Mount Sinai Health System (New York, NY)
- …analytic development skills and impact the patient community of the Mount Sinai Health System . **Qualifications** + BA or BS degree minimum, in a relevant field of ... EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider...+ Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as… more
- St. Mary's Healthcare (Amsterdam, NY)
- …factors permitted by law. The Director, Environmental Safety and Emergency Management is responsible for achieving and stewarding optimum emergency management ... to implement safety, security and regulatory education (eg, Hospital Incident Command System ). + Serves as the facility expert on alert and notification systems… more
- Northwell Health (Staten Island, NY)
- …care unit during assigned shift. 2.Collaborates with team members and nursing management in the development of methods, techniques and analytical approach to patient ... responsibility, etc.). 11.Provides input on department budget allocations to nursing management . 12.Ensures adherence to the established care delivery model, using… more
- SUNY Upstate Medical University (Syracuse, NY)
- …appropriate record keeping systems, and outside agencies such as insurance carriers, CMS , billing companies and or other support agencies preferred. RHIT, RHIA or ... RHIT, RHIA eligible preferred. Experience in obtaining insurance authorizations and with EPIC, Chartmaxx, Excel, Word a plus. Clinical knowledge a plus. Work Days: Monday-Friday 7:30am- 4:00pm Message to Applicants: Recruitment Office: Human Resources more
- Rochester Regional Health (Rochester, NY)
- …long term success of the Clinical Documentation Improvement program at the system level. The Director is responsible for providing education, support, and mentoring ... at the system level as well as establishing and attaining ...+ Provides direct managerial oversight to CDI Team in management of CDI processes CDI projects, barriers and education… more
- UWorld, LLC (New York, NY)
- …collaboratively with colleagues to meet individual and team goals + Maintains contact management system ( CMS ) records, including updated contact information, ... supports innovation + Superior attention to detail and tremendous organizational and time- management skills + Collaborative and team mindset; ability to give and… more