• Risk & Quality Performance Manager…

    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 (07/31/25)
    - Related Jobs

  • Vice President, Clinical Effectiveness

    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
    Option Care Health (06/12/25)
    - Related Jobs

  • Medical Director

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (08/20/25)
    - Related Jobs

  • Clinical Risk Management Specialist

    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
    Rochester Regional Health (06/18/25)
    - Related Jobs

  • Manager Risk & Quality Assurance

    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
    Highmark Health (08/15/25)
    - Related Jobs

  • Clinical Risk Manager - Risk…

    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
    Mount Sinai Health System (07/12/25)
    - Related Jobs

  • Risk Management Specialist

    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
    Anthony Jordan Health Corp (08/08/25)
    - Related Jobs

  • Associate Medical Director, Pharmacovigilance…

    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
    Sumitomo Pharma (08/15/25)
    - Related Jobs

  • Supplier Risk Management Analyst…

    Northwell Health (New Hyde Park, NY)
    …regarding vendor operations, department policy, and risk reporting. + Researches vendor risk management and supply chain best practices in the healthcare ... vendor management process, including onboarding operations, vendor due diligence, risk analysis, and maintenance of vendor data. Aids in the design, development,… more
    Northwell Health (07/24/25)
    - Related Jobs

  • Life Sciences - Compliance, Risk…

    Ankura (Lexington, NY)
    …Support project teams on advisory matters relating to corporate and healthcare compliance, including risk assessments, compliance program effectiveness ... excellence founded on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a talented individual to… more
    Ankura (07/25/25)
    - Related Jobs