- Humana (Albany, NY)
- …comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions + ... researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience… more
- Trinity Health (Albany, NY)
- …and administrative skills. Broad-based knowledge of hospital related regulatory compliance requirements. Presentation skills, team player, ability to influence ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management… more
- Humana (Albany, NY)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Humana (Albany, NY)
- …with our Security Automation Product Owner, Product Security Product Manager , Product Security Governance, DevOps, Enterprise Information Protection and Enterprise ... Information Systems Security Professional * (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other similar… more
- Elderwood (North Creek, NY)
- …Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average (3.33) and ... that the highest degree of quality care and regulatory compliance is maintained at all times. + New York...care of residents, as necessary. + Report to Unit Manager /Assistant Unit Manager or Charge Nurse Supervisor… more
- Elderwood (North Creek, NY)
- …Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average (3.33) and ... that the highest degree of quality care and regulatory compliance is maintained at all times. Responsibilities (RN -...of residents, as necessary. + Report to RN Unit Manager /Assistant Unit Manager or Charge RN Supervisor… more
- Saratoga Hospital (Saratoga Springs, NY)
- …System's (AMHS) inpatient and outpatient facilities. The HIM Specialist ensures compliance with legal, regulatory, and organizational standards while maintaining the ... of patient information. What You'll Do + Assist the HIM Operations Manager to ensure all clinical documentation is available to coding/billing and clinical… more
- Catholic Health (Cheektowaga, NY)
- …of this individual. This individual will have supervisory responsibilities over manager coding and chart auditing services, professional medical coders, auditors and ... and understanding of regulatory guidelines to continuously improve processes and compliance along with managing professional outpatient coding and chart auditing… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …and collection activities on past due accounts as directed by the Billing Manager . + Maintain strict confidentiality of patient health and financial information in ... compliance with HIPAA and practice policies. + Demonstrate working...or similar) is required. + Comprehensive knowledge of commercial, Medicare , Medicaid, and workers' comp billing procedures preferred. +… more
- Humana (Albany, NY)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more