- Molina Healthcare (Albany, NY)
- …data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface systemic issues, steer partners toward durable fixes, ... and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience...the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * Track record coordinating cross-functional… more
- Molina Healthcare (NY)
- …and productivity is important. Preferred candidates will have previous case management , managed care, hospital, and/or home health experience._ _This role is ... 8:00AM to 5:00PM EST (No weekends or Holidays)_ **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Yonkers, NY)
- …activities.* Responsible for alignment with project methodologies and change management processes.* Responsible to organize, manage and lead cross-team project ... engineering teams, and business stakeholders to evaluate design consistency, risk posture, and architectural completeness.* Provides constructive feedback on people,… more
- WTW (New York, NY)
- …+ Drives revenue growth through client sales of additional actuarial, financial, and/or risk solutions + Provides consulting quality reviews and client delivery ... plan design and innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems and to… more
- Kyndryl (New York, NY)
- …will also be leading the overall client engagement and delivering high quality client work alongside senior client stakeholders. Working in a transaction environment ... negotiation on engagements, while enduring profitability and understanding and containing risk Client Engagement: *Build and maintain deep relationships with client… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- MDS Director RN Glengariff Rehabilitation and Healthcare Center is looking for a talented and hard-working MDS Director RN to join our ever-growing team. We are ... communicates with Administrator and Director of Nursing to identify regulatory risk , effectiveness of Facility/Community Systems that allow capture of resources… more
- Rochester Regional Health (Rochester, NY)
- …needed. + Makes appropriate referrals to department directors/managers and/or Senior Leaders regarding quality , safety and risk management issues. + Supports ... Job Title: Quality Improvement Coordinator Department: Quality Management Location: Canton, NY, on...+ Performs chart audits, evaluates hospital activities and identifies risk through the analysis of quality referrals… more
- Aveanna Healthcare (Buffalo, NY)
- …CHAP (Community Health Accreditation Program) standards, ensuring the delivery of high- quality and compliant nursing services. Contribute to retention initiatives by ... expectations and satisfaction with internal and external customers. Evaluate the quality and effectiveness of nursing services, Analyze and report clinical data… more
- SMX (Albany, NY)
- …a **Director of Quality ** to lead and enhance its enterprise-wide quality management system. This individual will ensure alignment with industry ... Responsibilities:** + Lead the development, implementation, and continuous improvement of the Quality Management System (QMS) supporting ISO 9001, AS9100D, ISO… more