• PRN - Virtual Physician Collaborator (Remote)

    CenterWell (Albany, NY)
    …telemedicine/telehealth . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care settings . ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
    CenterWell (08/02/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (NY)
    …activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other ... (CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested… more
    Molina Healthcare (07/31/25)
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  • Community Connections Representative I/II (Buffalo…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and other high-risk issues. * Conducts targeted phone calls for compliance, HEDIS initiatives and health risk assessments. * Collaborate with Case Management on ... organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) level in key focus… more
    Excellus BlueCross BlueShield (07/29/25)
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  • Senior Integrated Clinical Pharmacist Bilingual

    CenterWell (Albany, NY)
    …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and thorough ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
    CenterWell (07/26/25)
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