• Supervisor, Field Family Nurse Practitioner…

    Molina Healthcare (NY)
    …regularly and directly engaging in patient care. Provides education on clinical guidelines, coding , quality measures, and documentation excellence. **Job ... , high-quality patient care via in-person and telehealth visits based on clinical and business need. +...critical thinking skills. **PREFERRED QUALIFICATIONS:** + Leadership experience. + Home visit/ Home health experience. + Bilingual To… more
    Molina Healthcare (06/19/25)
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  • Revenue Cycle Analyst - Oncology Team - Albany, NY…

    Trinity Health (Albany, NY)
    …Albany, NY. Searching for a motivated medical biller for our oncology departments. Coding a plus but not needed. Insurance knowledge a must. Position reports to ... 5 days a week and 1 allowed work for home day a week. **Position Highlights:** + Quality of...No nights no weekends. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + Responsible… more
    Trinity Health (06/05/25)
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  • Physician Assistant - NE

    Albany Medical Center (Albany, NY)
    …care to people who need it each day. World-Class specialty care closer to home . Welcome to Albany Medical Center, providing excellent care to our community each day. ... Responsibilities: * Conduct patient assessments and complete physical examinations * Collect clinical data such as vitals, specimens, point of care testing * Conduct… more
    Albany Medical Center (06/19/25)
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  • Solutions Architect

    Evolent (Albany, NY)
    …is preferred **Healthcare Domain Knowledge That Matters** + Deep understanding of clinical workflows, value- based care models, and healthcare economics + ... other healthcare interoperability standards + Design integration strategies that enable value- based care delivery across Epic, Cerner, Allscripts, and other major… more
    Evolent (06/26/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer based applications. ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....use of health care resources. **This is a remote based (work at home ) based … more
    CVS Health (06/09/25)
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  • Medical Director - Care Plus - Florida

    Humana (Albany, NY)
    …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (06/28/25)
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  • Medical Director - Mid West Region

    Humana (Albany, NY)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (05/14/25)
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  • Medical Director-Payment Integrity

    Humana (Albany, NY)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes,… more
    Humana (06/06/25)
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  • Billing & Collections Specialist

    Ultimate Care Inc (Brooklyn, NY)
    …doing: + Invoicing: Generate and send invoices to private pay clients for home health services provided. + Payment Processing: Receive payments from private pay ... rejections. Skilled Billing (eg, Medicare Part A or B): + ICD-10 and CPT Coding : Ensure proper ICD-10 diagnosis and CPT procedure coding for Medicare billing.… more
    Ultimate Care Inc (05/31/25)
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  • Medical Director, Safety Net Population

    Excellus BlueCross BlueShield (Rochester, NY)
    …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... current and working knowledge of Utilization Management Standards. + Clinical skills are excellent and evidence- based medicine...including fluorescent lighting. + Ability to work in a home office for continuous periods of time for business… more
    Excellus BlueCross BlueShield (06/07/25)
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