- Humana (Albany, NY)
- …vendors to resolve issues and maintain compliance with CMS and Medicare Risk Adjustment requirements. + Support auditing processes for corrected claims, deletes, and ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Highmark Health (Albany, NY)
- …This job is responsible for requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and ... optimize risk adjusted revenue for the organization. Primary duties include...(10%) + Effectively communicates with team members and external healthcare providers to ensure adherence to strict project deadlines.… more
- Mount Sinai Health System (Long Island City, NY)
- …Participates in identification, response to, and investigation of potential and actual risk management issues. + Projects a professional image and maintains a ... education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate...respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove… more
- Anthony Jordan Health Corp (Rochester, NY)
- …a strong Jordan team player. . Revenue opportunities are captured and reimbursement risk is abated. Education And Experience Required: . High School diploma or ... Jordan Health actively collaborates with the major hospital and healthcare systems in our operating area to provide a...healthcare systems in our operating area to provide a total safety net of healthcare services. Salary Description… more
- MVP Health Care (Tarrytown, NY)
- …auditing and/or reviewing, customer care, membership, pharmacy, or relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement ... audits. + Identify and initiate new audits as patterns emerge through risk -based monitoring efforts, datamining, and other routine payment policy reviews. + Analyze… more
- Nuvance Health (Poughkeepsie, NY)
- …Home Care, we are seeking individuals to become part of our exceptional home healthcare team. We are interested in health care staff who thrive working independently ... Mileage Reimbursement * Self-Autonomy * Generous PTO provided * Healthcare , Dental, 401k, etc. * Full-Time 40 hours per...finger dexterity * Little or no potential for occupational risk * Extremely heavy effort. May exert > 125… more
- MVP Health Care (Schenectady, NY)
- …**Professional, Behavioral Health** to join #TeamMVP. If you have a passion for healthcare , improving access to care, enhancing quality and compliance this is the ... and an integrated team of physicians and clinicians, on challenging and high- risk cases. + Maintain accurate and timely documentation in compliance with regulatory… more
- Mount Sinai Health System (New York, NY)
- …management activities including identifying and communicating issues of performance improvement and risk in a timely manner, using chain of command. e. Leads and ... education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate...respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove… more
- Northwell Health (New Hyde Park, NY)
- …the clinical staff in the pursuit of continuing education. Knowledge of the Healthcare Environment + The manager PC maintains up to date knowledge about population ... health, professionalism and legislation involving healthcare in order to effectuate change and transform care. + The manager PC will implement strategies to meet the… more
- Nuvance Health (Poughkeepsie, NY)
- …in Poughkeepsie, New York. As a tertiary teaching hospital and the healthcare leader in the Mid-Hudson Valley, we offer comprehensive, subspecialized medical, ... Customer Service and organizational skills. Criteria Desired: National Association of Healthcare Access Management (NAHAM) certification within one year of hire.… more