- Humana (Albany, NY)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Humana (Albany, NY)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Monroe Community College (Rochester, NY)
- …provides clinical instruction, and evaluates student performance per guidelines set by the Healthcare dept, MCC, and NYS. + Ensures compliance with all reporting ... for implementing CNA curricula, as provided by the MCC Healthcare Department, to ensure that students are prepared for...in the delivery of patient care. + Collaborate with healthcare professionals to provide the best clinical experience for… more
- Catholic Health Services (Smithtown, NY)
- …degree preferred. Minimum of 1 year of clerical/administrative experience in healthcare , legal, or compliance setting. Strong computer skills, including ... are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job… more
- Molina Healthcare (Buffalo, NY)
- …or healthcare performance metrics + Understanding of regulatory and compliance considerations (eg, HIPAA) in data handling To all current Molina employees: ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Healthcare plays a critical role in supporting clinical and operational initiatives by… more
- Molina Healthcare (Buffalo, NY)
- …or healthcare performance metrics + Understanding of regulatory and compliance considerations (eg, HIPAA) in data handling To all current Molina employees: ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst, Healthcare plays a critical role in supporting clinical and operational initiatives by translating … more
- Humana (Albany, NY)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Humana (Albany, NY)
- …regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and ... experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure… 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 ... Union launched the recognition program 14 years ago. Overview: St. Mary's Healthcare is actively seeking Board Certified / Board Eligible Emergency Medicine… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more