- Molina Healthcare (Yonkers, NY)
- …including development and execution of some test plans. + Participates in the implementation and conversion of new and existing health plans. + Must have ... configuration experience in QNXT or NetworX Pricer + Must have healthcare experience. + Experience working with SQL is highly preferred. **JOB QUALIFICATIONS**… more
- Molina Healthcare (Buffalo, NY)
- …contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, ... of experience in claims as Adjuster or claims examiner in the healthcare field **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
- Molina Healthcare (Yonkers, NY)
- …line with industry standards and best practices * Assists with new program implementation and supports the health plan in-source BH services * Additional duties as ... Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management,… more
- Molina Healthcare (Buffalo, NY)
- …liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision ... Medicare) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification… more
- Molina Healthcare (Rochester, NY)
- …lead responsible for individual market P&L performance in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... & Medicaid Services (CMS) and State regulatory requirements. + Direct implementation , monitoring, and measurement of strategic and tactical plans that contribute… more
- Molina Healthcare (Yonkers, NY)
- …support operational and strategic decision-making + Contributing to the research and implementation of emerging technologies to enhance our claims and data ecosystem ... Scrum teams. + Excellent written and verbal communication skills. + Experience with healthcare data and systems, + QNXT experience a plus **Education:** + Bachelor's… more
- Genesis Healthcare (Queens, NY)
- …birth to three, including assessment, treatment, program planning and implementation , related documentation, and communication. Functions under physician's orders. ... required. Consistently demonstrates sound judgment in the evaluation, planning, implementation and follow-up of resident therapy programs. Communicates with… more
- KPH Healthcare Services, Inc. (Alexandria Bay, NY)
- …plan and accomplish assigned tasks and goals. **Job Summary:** Responsible for the implementation and adherence to the Kinney Standard of Practice as it relates to ... deviations from said policies to Loss Prevention + Assist in the implementation of all corporate pharmacy marketing, advertising and promotional programs are fully… more
- KPH Healthcare Services, Inc. (Whitesboro, NY)
- …plan and accomplish assigned tasks and goals. **Job Summary:** Responsible for the implementation and adherence to the Kinney Standard of Practice as it relates to ... deviations from said policies to Loss Prevention + Assist in the implementation of all corporate pharmacy marketing, advertising and promotional programs are fully… more
- KPH Healthcare Services, Inc. (Oneonta, NY)
- …full time position in a hospital setting.** **Job Summary:** Responsible for the implementation and adherence to Noble Health Services policies and procedures as it ... plan and accomplish assigned tasks and goals. **Job Summary:** Responsible for the implementation and adherence to Noble Health Services policies as it relates to… more
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