- Molina Healthcare (Albany, NY)
- …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery… more
- Molina Healthcare (Yonkers, NY)
- …Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management , operational execution, and ... in healthcare provider engagement or payer-provider program management . + Familiarity with clinical, quality , or...payer-provider program management . + Familiarity with clinical, quality , or risk adjustment program workflows. +… more
- Option Care Health (Albany, NY)
- …Qualifications & Interests (PQIs) Participation in professional organizations related to healthcare , risk management or quality management . Due to ... professional service opportunities into tangible revenue growth and value Proven change management leadership experience related to quality , safety, and improved… more
- 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 ... of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source… more
- Molina Healthcare (Albany, NY)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... management , and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Rochester Regional Health (Rochester, NY)
- …required. + Certification in quality improvement, safety, clinical risk management or equivalent (eg, Certified Professional in Healthcare Quality - ... risk rounds within the organization. REQUIRED QUALIFICATIONS + Bachelor's degree in healthcare administration, risk management , or a related field… more
- Highmark Health (Buffalo, NY)
- …Inc. **Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross ... performance guarantees / service level agreements, and (f) employee performance quality . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to… more
- Mount Sinai Health System (New York, NY)
- …meet the needs of the institution. 2. Reviews and analyzes all occurrence reports for Risk Management , quality of care, regulatory and insurance concerns. 3. ... Clinical Risk Manager in the Department of Risk Management and Patient Safety is responsible...Systems objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the… more
- Anthony Jordan Health Corp (Rochester, NY)
- …1 year of experience in a healthcare setting, with responsibilities involving risk management , patient safety, quality improvement or compliance and ... RISK MANAGEMENT SPECIALIST ROCHESTER, NY (http://maps.google.com/maps?q=214C+Lake+Avenue+ROCHESTER+NY+USA+14608)...you can make a difference and significantly impact patients' quality of life, please consider ourRisk Management … more
- Sumitomo Pharma (Albany, NY)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more