• Nurse Practitioner TRI PC

    Catholic Health (Niagara Falls, NY)
    …New York State Professional RN license + Completion of an accredited program for Nurse Practitioners. + Maintains Adult, Acute Care or Family Nurse Practitioner ... degree preferred. EXPERIENCE + Three (3) years' experience as a Nurse Practitioner preferred. + Experience in family practice/specialty setting preferred. KNOWLEDGE,… more
    Catholic Health (05/14/25)
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  • Medical Assistant TRI Bariatric Surgery

    Catholic Health (Cheektowaga, NY)
    …The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse Practitioner, Physician Assistant and/or ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
    Catholic Health (07/24/25)
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  • RN

    Catholic Health Services (Melville, NY)
    Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical ... leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment to providing the...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
    Catholic Health Services (06/18/25)
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  • PRN - Virtual Physician Collaborator (Remote)

    CenterWell (Albany, NY)
    …as possible. **Responsibilities:** . Act as a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review and ... telemedicine/telehealth . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care settings .… more
    CenterWell (08/02/25)
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  • Data Science Analyst III - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
    Mount Sinai Health System (07/03/25)
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  • Data Science Analyst II-Geriatric and Palliative…

    Mount Sinai Health System (New York, NY)
    …Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… more
    Mount Sinai Health System (06/29/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Rochester, NY)
    …Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more
    Molina Healthcare (06/29/25)
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  • Case Manager, RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
    Excellus BlueCross BlueShield (06/18/25)
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