- Molina Healthcare (Yonkers, NY)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and… more
- Ankura (New York, NY)
- …to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare . **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... industry conversations on emerging regulations and best practices related to prospective risk capture and concurrent review. **Compliance & Quality :** + Partner… more
- Sumitomo Pharma (Albany, NY)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according… more
- Ankura (Lexington, NY)
- …Support project teams on advisory matters relating to corporate and healthcare compliance, including risk assessments, compliance program effectiveness ... on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a...science, economics, accounting, and data science. As a Senior Director , you can expect to: . Demonstrate the highest… more
- Datavant (Albany, NY)
- …a diversity of professional, educational and life experiences to realize our bold vision for healthcare . The Director of Client Success will report to the VP of ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Director of Nursing-Dialysis & Rehabilitative Services in partnership with the Chief, Nephrology, provides ... support for the Nurse Supervisors and clinical/operational staff in the Bassett Healthcare Network's Dialysis Departments. The Director also is responsible for… more
- Bassett Healthcare (Cooperstown, NY)
- …The Ambulatory Nursing Director also participates as a member of Bassett Healthcare Network Directors Team, in such a manner that the organization is able to ... our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do Working under...and Senior Vice President of Nursing, the Ambulatory Nursing Director provides clinical oversight, leadership and support for the… more
- Molina Healthcare (Albany, NY)
- …Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Director of Pharmacy Services plans, organizes and directs all functions of the hospital pharmacy ... Ensure that the department environment is free from recognized hazards that create a risk of injury to healthcare workers, patients, and/or visitors Support and… more