• Risk & Quality Performance Manager

    Molina Healthcare (Syracuse, NY)
    …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of ... Plan Risk and Quality leaders to improve outcomes by managing Risk/ Quality data collection strategy , analytics, and reporting, including but not limited… more
    Molina Healthcare (10/31/25)
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  • Director of Patient Services, Homecare RN - Hapi

    The New Jewish Home (Bronx, NY)
    …to nursing and paraprofessional staff as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement ... develop, implement and refine quality and safety programs at the inter-professional level through consultation, program... subject matter expert with other stakeholders to drive quality management strategy . o Builds… more
    The New Jewish Home (10/17/25)
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  • Principal, Stars Enterprise Activation - Insurance…

    Humana (Albany, NY)
    …initiatives. **Role Responsibilities:** + Oversight of related budget, vendor relationships, and program / project management + Serve as the primary liaison for ... Qualifications** + Bachelor's degree + 8-9 + years of quality improvement, developing & advancing enterprise strategy ,...center, enrollment, etc. + 5 years or more of CMS Stars program experience + Medicare Advantage… more
    Humana (11/19/25)
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  • Clinical Quality Lead - QA Team, $2,500…

    Access: Supports For Living (Middletown, NY)
    …Analysis, Process Mapping, data collection and analysis, pareto diagrams, run charts, Daily Management System and strategy deployment + Assisting with IRC ... or RN OVERVIEW OF PRIMARY RESPONSIBILITES: This position leads and supports a Quality Team which is responsible for: Incident Management , Internal Regulatory… more
    Access: Supports For Living (10/25/25)
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  • Stars Technology Business Intelligence Lead…

    Humana (Albany, NY)
    …claims data used in **HEDIS measurement** + Familiarity with ** CMS Stars programs ** , NCQA standards, and quality performance metrics. + Advanced experience ... strategy , and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise...Knowledge of NCQA, CMS , and health plan quality measurement programs . + Deep understanding of… more
    Humana (11/01/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Albany, NY)
    …other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This ... with preparation of delegation summary reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. +… more
    Molina Healthcare (11/13/25)
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  • Medical Director, Behavioral Health (NE)

    Molina Healthcare (Albany, NY)
    …and ability to learn new programs . Preferred Qualifications * Experience with utilization/ quality program management . * Managed care experience. * Peer ... health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job… more
    Molina Healthcare (11/09/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …coding guidelines and proper documentation requirements as it relates to data quality management and reimbursement. + Responsible for the recruitment, selection, ... the long term success of the Clinical Documentation Improvement program at the system level. The Director...of customer service. + Responsible for the development and management of strategy , specific goals, objectives, budgets… more
    Rochester Regional Health (10/04/25)
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  • Sr. Instructional Designer- SON

    University of Rochester (Rochester, NY)
    …advocate for, and expand online course development, use of the learning management system , content management system , online learning software, and ... courses in the School of Nursing undergraduate and graduate programs by helping to deliver multimedia content ...Supports and troubleshoots users' advanced inquiries on the learning management system , media software and other software… more
    University of Rochester (10/22/25)
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  • Program Management Lead, Offshore…

    CenterWell (Albany, NY)
    …our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... for Medicare and Medicaid Services ( CMS ) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse… more
    CenterWell (10/23/25)
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