- Molina Healthcare (Buffalo, NY)
- …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role supports negotiations with assigned… more
- Rochester Regional Health (Rochester, NY)
- …safety, clinical risk management or equivalent (eg, Certified Professional in Healthcare Quality - CPHQ, Lean, Certified Professional in Patient Safety - ... 40Schedule: Monday - Friday, 8am - 4:30pm SUMMARY: The Quality Specialist is pivotal in driving the...and performance improvement. REQUIRED QUALIFICATIONS: + Bachelor's degree in healthcare management , nursing, or a related field.… more
- Bassett Healthcare (Oneonta, NY)
- …population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Exercise Specialist develops an ... and guidance following the plan-of-care and treatment of patients. + Ensures quality of service. + Demonstrates knowledge of patient's medical status and needs… more
- BlackRock (New York, NY)
- **About this role** **Job Title:** Senior Quality Assurance Specialist - VP **Position Summary** We are seeking a detail-oriented and experienced Senior QA ... Specialist to lead testing and validation efforts across hardware,...with robust automation and AI testing capabilities, focusing on quality strategy, process improvement, and cross-functional collaboration. The ideal… more
- Molina Healthcare (Rochester, NY)
- …with respect to financial and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... system requirements of customers as it pertains to contracting and network management . **Job Duties** This role supports assigned contracts with VBC providers that… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …and training employees **Job Summary:** Responsible for all aspects related to management of hub services relationships, entering of medication orders, and customer ... protocol and non-standard service models to provide the highest quality of services to patients + Serve as subject...as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more
- Molina Healthcare (Rochester, NY)
- …state required applications, for the purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid, CHP and ... Provide non-clinical reminders (ie; product overviews, premiums, gaps in care, care management , member engagement events etc..) and assist as needed with resolving… more
- CVS Health (Albany, NY)
- …+ Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard ... effective and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as… more
- Rochester Regional Health (Rochester, NY)
- …safety, clinical risk management or equivalent (eg, Certified Professional in Healthcare Quality - CPHQ, Lean, Certified Professional in Patient Safety - ... Job Title: Clinical Risk Management Specialist Department: Clinical Risk ManagementLocation:...within the organization. REQUIRED QUALIFICATIONS + Bachelor's degree in healthcare administration, risk management , or a related… more
- Molina Healthcare (Yonkers, NY)
- …initiatives to improve overall claims function efficiency. * Meets claims department quality and production standards. * Completes basic claims projects as assigned. ... and data entry skills. * Organizational skills and attention to detail. * Time- management skills, and ability to manage simultaneous projects and tasks to meet… more