- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of ... projects with internal and external partners. + Interprets how regulatory changes affect Health Plan and develops impact analyses,...a better IDEA for our communities. At the Lifetime Healthcare Companies, we're on a mission to make our… more
- Stony Brook University (Commack, NY)
- …that directly affect MCE Team workflow(s). Direct questions regarding revised law, regulatory guidelines and MCO correspondence with the Director of Enrollment. + ... setting up and managing the Council for Affordable Quality Healthcare (CAQH) profiles. + Knowledge of NCQA, TJC, CMS...complete a 4 panel drug screen * + Meet Regulatory Requirements for pre-employment screenings. + Provide a copy… more
- Mount Sinai Health System (New York, NY)
- …Mount Sinai Hospital and Ambulatory Care policy and procedures and applicable regulatory guidelines. Reporting MSAHC Operations Manager, and with a dotted line to ... Health leadership, assures overall compliance of all internal and external regulatory requirements including infection control and environmental safety Assists SBHC… more
- Whitney Young Health Center (Albany, NY)
- …and identify quality improvement initiatives. . Actively participates in NYSDOH/IPRO regulatory and program activities. Quality of Service: . Documents all patient ... year. . Maintains an acceptable level of compliance with clinical and regulatory standards including medical record documentation per The Joint Commission standards.… more
- CiTi BOCES (Mexico, NY)
- …a passionate educator dedicated to preparing students for careers in healthcare , particularly as Certified Nursing Assistants (CNA). The instructor will design ... strong relationships with clinical partners, ensuring placements meet educational and regulatory standards. + Ensure students meet clinical competencies and state… more
- Trinity Health (Syracuse, NY)
- …charges and adjustments Maintains productivity standards Maintains compliance with regulatory requirements Responsible for denial coordination with Patient Business ... CCS, CPC/COC or other coding credentials is required. CHC ( Healthcare Compliance Certification) preferred. AAPC, AHIMA or CCSP certification/membership preferred.… more
- WMCHealth (Hawthorne, NY)
- …with WMCHealth Network Medical Staff Offices, accrediting organizations, and regulatory agencies. Does related work as required. Responsibilities: + Process ... applications and recred applications for healthcare providers seeking to enroll with various insurance networks, ensuring accurate and timely submission. + Verify… more
- WMCHealth (Valhalla, NY)
- …AP services across network as per institutional need and ensure compliance with regulatory requirements of CAP, NY State Department of Health, and other applicable ... regulatory agencies. Fellowship training or expertise in one or...Westchester Medical Center Health Network (WMCHealth) is a 1,700-bed healthcare system headquartered in Valhalla, New York, with 10… more
- FlexStaff (New York, NY)
- **Req Number** 160941 Are you a dynamic healthcare professional with a passion for improving patient outcomes and leading multidisciplinary teams? Our client is ... participate in quality assurance activities, and ensure compliance with all regulatory requirements. - Work closely with clinical development teams to establish… more
- Humana (Albany, NY)
- …opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves. The ... and assess prospective new markets. Gather key information on market and regulatory landscape and translate state policy to discern impacts to Humana's operating… more