• Manager Risk & Quality Assurance

    Highmark Health (Buffalo, NY)
    …the Blue Cross Blue Shield Association (BCBSA), accreditation bodies, executive management , plan partners, group customers, and employee level performance. The ... agreements, and (f) employee performance quality. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
    Highmark Health (08/15/25)
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  • Hospitalist-PD

    Catholic Health Services (Smithtown, NY)
    …of 15-17 patients Able to adapt and be flexible to new CMS regulations Hospitalist Qualifications: Doctorate degree in Medicine or Osteopathic Medicine ACLS/BLS ... Certified Trained in Family Practice or Internal Medicine Board Certified or Eligible in Internal Medicine/Family Practice Salary Range Starting from USD $165.00/Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors,… more
    Catholic Health Services (08/15/25)
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  • RN - Community Health Nurse - Contract

    FlexStaff (Bronx, NY)
    …team (IDT) member who assigned to a PACE member in compliance with CMS PACE regulatory requirement. JOB RESPONSIBILITIES: + Carries out the agency's mission, ... environmental factors. + Identifies complete, accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration… more
    FlexStaff (08/15/25)
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  • Finance and Authorization Specialist - Lead

    Rochester Regional Health (Rochester, NY)
    …it + Obtain insurance information through various searches when not in the system + Develop and implement training plan + In collaboration with managers, provide ... established patients. + Review Oncology infusion orders for medical necessity per CMS , Manufacturer, or NCCN guidelines. Work with physicians if these specific… more
    Rochester Regional Health (08/15/25)
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  • Web Marketing Specialist

    Canandaigua National Bank & Trust (Canandaigua, NY)
    …or related fields normally required. + A minimum of three (3) years' experience with Content Management Systems ( CMS ), updating content , page development ... is responsible for supporting a variety of web and related channel content updates; page development; and collecting, analyzing, reporting data with the goal… more
    Canandaigua National Bank & Trust (08/15/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment ... (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. +… more
    Molina Healthcare (08/14/25)
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  • Chemotherapy/Infusion Nurse Manager

    WMCHealth (Warwick, NY)
    …St Anthony Community Hospital City/State: Warwick, NY Category: Nursing/Nursing Management Department: Ambulatory Surgery Union: NO Position: Full Time Hours: ... of current policies and procedures. . Participates in labor management conferences, making recommendations as required. . Performance Improvement/Quality. .… more
    WMCHealth (08/14/25)
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  • Health Insurance Biller

    City of New York (New York, NY)
    …services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH ... claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in… more
    City of New York (08/14/25)
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  • Clinical Admissions Facilitator (Licensed PT, OT,…

    Trinity Health (Schenectady, NY)
    …established criteria of the acute rehabilitation center and with compliance to CMS regulations. + Education of clients, family members, referral sources, and ... is a MUST + Demonstrated expertise in analysis, decision making, time management , oral and written communication, and computer use + Excellent assessment skills… more
    Trinity Health (08/14/25)
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  • Mtce Supv (Track) II

    MTA (Brooklyn, NY)
    …suite. Applicants must be willing to learn additional programs such as the Commodity Management System ( CMS ), TALON, Tunnel view, DRAW, and Peoplesoft. The ... also be responsible for assisting in hand-held tool insulation contract management . Will be dealing directly with Track Engineering, procurement division, supply… more
    MTA (08/14/25)
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