- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers ... Experience in health care setting. Bachelor's degree required (nursing, healthcare related degree is strongly preferred). Master's degree preferred. Certification… more
- Bassett Healthcare (Oneonta, NY)
- …plans with members and their families. Assists members engagement in their healthcare by connecting members with the appropriate medical services, closing care gaps, ... and programmatic needs. Work with the Lead Health Home Administrative team to develop workflows that meet policy requirements...With an additional 3 yrs of experience in the healthcare , human services field or nursing may be considered.… more
- Bassett Healthcare (Oneonta, NY)
- …operational support, project and maintenance management, for facilities within Bassett Healthcare Network. To provide supervision for fire safety in the absence ... coordinates the scheduling, operation and support activities of Bassett Healthcare Network (Bassett Medical Center, O'Connor Hospital, Cobleskill Regional Hospital,… more
- Molina Healthcare (Albany, NY)
- …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and ... are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for… more
- Molina Healthcare (Syracuse, NY)
- …member, member's medical provider, dental provider, Case Manager, Call Center, or healthcare care professional and are based on a current, comprehensive evaluation ... individuals within HCS and other departments + Provide general administrative support for the Health Services team + Perform...preferred + A minimum of two (2) years of healthcare experience is required + Previous dental, case management,… more
- Molina Healthcare (Syracuse, NY)
- …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... and timeliness of encounters submissions. + Manage projects/initiatives that reduce administrative costs for Molina and/or providers as well as identifies… more
- Molina Healthcare (Yonkers, NY)
- …Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- St. Mary's Healthcare (Amsterdam, NY)
- St. Mary's Healthcare has been named a 2025 Times Union Top Workplace . We are the first acute care hospital in the Capital Region to earn the distinction since the ... to include, acute care, outpatient and ambulatory services and residential healthcare facility. Responsibilities: + Ensure timely and accurate coding for all… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …accomplish assigned tasks. **Job Summary:** Perform various clerical and administrative support duties throughout Specialty Pharmacy **.** **Responsibilities** + ... of multiple factors such as relevant skills, years of experience,and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …with regulatory and compliance matters within ProAct. **Job Summary:** Responsible for administrative tasks to meet the regulatory and compliance needs of ProAct and ... multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more