- Molina Healthcare (NY)
- …monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability to work independently and ... set priorities. + Manages compliance incidents management and related processes, including associated corrective action plans....notices of proposed rulemaking. + Manages user access to CMS . + Analyze data use critical thinking + Ability… more
- Molina Healthcare (Rochester, NY)
- …Plan requirements * Works with Claims, Configuration, Contracting, Provider Data Management , and other business partners to resolve provider concerns related to ... role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims, Surgery, Anesthesia, high dollar complicated claims,… more
- FlexStaff (New York, NY)
- …assessment. Documents all interactions and outcomes in the designated clinical management /electronic record system . Completes all assessments, notes, service ... escalate issues of changes to ensure proper care and management of cases are followed. Promotes and educates potential...Health Commerce System and the electronic record system . Maintains knowledge of all applicable CMS /PACE… more
- Wolters Kluwer (New York, NY)
- …market insights into actionable product requirements, collaborates closely with Engineering, Content , and go-to-market teams, and ensures that our solutions meet the ... long-term advocacy. **Cross-Functional Collaboration** * Coordinate with Engineering and Content teams to ensure product requirements are well understood,… more
- Datavant (Albany, NY)
- …to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define, ... to the table:** + Bachelor's degree in Business, Operations Management , or a related field; MBA or equivalent advanced...and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …genomics & proteomics datasets, phenome-wide approaches. Collaboration with other RGC teams ( CMS TAG, Analytical Genetics, other TAGs) and TFAs. **In this role, a ... typical day might include the following:** + Plan, develop, and carry out large-scale analyses with various genomics and proteomics datasets + Integrate a wide array of human genetics, bioinformatics and biological knowledge in reproducible pipelines +… more
- Molina Healthcare (NY)
- …and demonstrate proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA ... + Performing financial analysis to assist in delivering optimal health care management and decision making + Understanding and applying data storage and data… more
- Catholic Health Services (Rockville Centre, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... financial statement entries and other reports as assigned by management . Assigning training and reviewing staff work. Downloads and...pools. Coordinates audit response to Third Party Auditors, NGS, CMS , or their agents on S3, ICR and Bad… more
- Nuvance Health (Poughkeepsie, NY)
- …Service Director and all related activities at the assigned location within the Nuvance System . This will include any one or more of the following: Vassar Brothers ... Medical Center, Northern Dutchess Hospital, Putnam Hospital Center, Nuvance Material Management Warehouse, The Fishkill Medical Mall, all Nuvance locations and other… more
- Mohawk Valley Health System (Utica, NY)
- …quality and revenue cycle operations. The coder assigns International Classification of Disease system - 10 (ICD), CM, and PCS codes according to AHA - AMA ... Guidelines, CMS and NGS. Core Job Responsibilities + Assign the...required. Education/Experience Requirements REQUIRED: + AS in Health Information Management , a related degree or equivalent experience + RHIA,… more