- WMCHealth (Valhalla, NY)
- …care and efficient discharges to improve throughput + Monitor and ensure compliance with healthcare regulations, accreditation standards, and internal policies ... for overseeing and managing patient flow and throughput throughout the healthcare network, ensuring that patients receive timely and appropriate care while… more
- Highmark Health (Albany, NY)
- …reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/ regulatory requirements and CMS Stars rating measures including HEDIS, CAHPS, ... and commercial populations with the goal of maximizing quality while reducing healthcare costs. + Support the identification of initiative impacts with other… more
- Catholic Health Services (Hauppauge, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... and stability. Make recommendations for therapy changes to physicians and healthcare practitioners as appropriate. Maintain patient database to include appropriate… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …approved quality improvement and utilization management programs in accordance with regulatory , state, corporate, and accreditation requirements. + Assists the Chief ... + Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of… more
- Mount Sinai Health System (New York, NY)
- …across staff with improved communication and accountability B. Compliance + Ensure compliance with all regulatory agencies to include the NYS Office of ... will be charged with ensuring that the above functions are developed, managed and delivered within a culture that is youth-centric, high quality, integrated… more
- Mount Sinai Health System (New York, NY)
- …Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, ... experience. **General Skills and Competencies** + Demonstrates the ability to assure compliance with regulatory , insurance and ethical standards regarding safety… more
- New York State Civil Service (Batavia, NY)
- …maximize revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ... financial condition, and ensures that residents' personal accounts are appropriately managed .* Oversees the development and administration of contracts for the… more
- Humana (Albany, NY)
- …financial results, and many ad hoc analyses related to the business (risk, compliance , operations, etc.) They will advise market leadership and executives to develop ... peer-reviewed results **Preferred Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project management experience + In… more
- New York State Civil Service (Jamaica, NY)
- …maximize revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ... financial condition, and ensures that residents' personal accounts are appropriately managed .* Oversees the development and administration of contracts for the… more
- Grifols Shared Services North America, Inc (Manhattan, NY)
- …work performance and deliverables meet or exceed goals and objectives. + Ensures compliance with all applicable regulatory , legal, and operational rules and ... an international team working to improve the future of healthcare ? Do you want to enhance the lives of...to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and… more
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