- CVS Health (Albany, NY)
- …and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided within ... to obtain crucial or required information from Providers, such as HEDIS , Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information… more
- Mount Sinai Health System (New York, NY)
- …Engagement. The Associate Director of Quality will be the direct manager of the MSHP Quality Care Coordinators. **Qualifications** **Education and Experience** ... contact for payer quality reporting * Content expertise for standard quality measures ( HEDIS , PQRS, MIPS, etc.) * Interface with analytics, IT, and providers to… more
- Excellus BlueCross BlueShield (Buffalo, 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
- Molina Healthcare (Yonkers, NY)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Certification, Association** + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more