• Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …codes that are submitted to the Centers for Medicare and Medicaid Services ( CMS ) for the purpose of risk adjustment processes are appropriate, accurate, and ... compliance with internal policies and procedures as well as regulatory guidance from CMS , OIG or other Regulatory body. **Required Qualifications** + Minimum of 1… more
    CVS Health (12/27/25)
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  • Associate Director, Coding

    St. Mary's Healthcare (Amsterdam, NY)
    …times to meet established KPIs. + Ensure effective workflows for coding, query management , and charge capture. + Collaborate with IS and HIM to optimize the ... computer-assisted coding, EMR integration, and auditing tools. + Maintain compliance with CMS , OIG, and other regulatory guidelines + Oversee routine internal and… more
    St. Mary's Healthcare (12/25/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Cornwall, NY)
    …machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing ... HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services ( CMS )-approved state and/or national certification requirements within the required… more
    Fresenius Medical Center (12/24/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Rochester, NY)
    …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
    Fresenius Medical Center (12/24/25)
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  • Representative, Pharmacy

    Molina Healthcare (NY)
    …Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services ( CMS ) standards. * Provides coordination and processing of pharmacy prior authorization ... and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and… more
    Molina Healthcare (12/24/25)
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  • Quality Specialist

    Rochester Regional Health (Rochester, NY)
    …to facilitate standard updates on key quality and safety initiatives from the system . + Lead quality improvement teams using improvement science and provide guidance ... aligned areas quality and safety matters to regional and system quality meetings as appropriate. + Partner closely with...externally reported quality programs for the business area (Leapfrog, CMS Stars, CMS P4P, Excellus HPIP, QAPSPI… more
    Rochester Regional Health (12/24/25)
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  • Sr. Medicare (PPS) Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …but not limited to: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate CMS logic. + Assisting with ... Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies.… more
    Humana (12/19/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Fayetteville, NY)
    …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
    Fresenius Medical Center (12/18/25)
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  • Supervisor Intake Coordination

    Highmark Health (Albany, NY)
    …contribute to highest levels of performance. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but limited to: involved in hiring and ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct, and control… more
    Highmark Health (12/18/25)
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  • Manager, Performance Excellence and Accreditation

    Trinity Health (Syracuse, NY)
    …to regulatory compliance. Leverages clinical information technology, process design, change management and evidence to ensure ongoing survey readiness and compliance ... Consultants who lead or facilitate quality improvement activities, provide project management , data analysis and measurement of outcomes, document and report the… more
    Trinity Health (12/17/25)
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