- Humana (Albany, NY)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the ... Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our rapidly expanding team of… more
- Humana (Albany, NY)
- …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance . + Works closely with operational areas to prepare documentation and… more
- Humana (Albany, NY)
- …discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on outages, impacts, ... and template for market-based reporting to ensure clarity and accountability. + Compliance and Reporting Tracking: Track market compliance and reporting SLAs… more
- Humana (Albany, NY)
- …+ Leadership experience - indirect or direct + Must have experience in the healthcare industry or medical field + Strong data entry skills required + Proficiency ... Please note that training is a critical stage of associate development. Attendance is vital for success, so no...space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Process** As part of our hiring… more
- Humana (Albany, NY)
- …with little oversight or direction. You will report directly to the Associate Vice President of Product Security. **Responsibilities** : * Collaborate with ... our strategy * Partner with cross-functional teams to ensure compliance with industry standards and regulations (eg, SOC 2,...space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,… more
- Humana (Albany, NY)
- …or more years of Administrative support experience + 1 or more years of Healthcare experience + 1 or more years of Outbound telephonic Customer Service experience + ... subject to change based on business needs. **Language Proficiency Testing** Any Humana associate who speaks with a member in a language other than English must… more
- GMHC (New York, NY)
- …notes and service plans in adherence to regulatory requirements. + Confidentiality and compliance with HIPAA and other legal protections. Work Environment & ... Ongoing Client Support & Engagement: + Accompany clients to healthcare appointments, entitlement offices, housing appointments, and other necessary services.… more
- Humana (Albany, NY)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Humana (Albany, NY)
- …regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and ... experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure… more
- Whitney Young Health Center (Albany, NY)
- …both internal and external customer service. + Understands and effectively communicates HIPAA compliance , corporate compliance , and client confidentiality. + ... at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse...needs. In a collaborative effort with provider, clinical, practice associate and customer service staff, acts as central figure… more