- Highmark Health (Albany, NY)
- …and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
- Nuvance Health (Carmel, NY)
- …the hospital is a 164-bed acute care facility offering the highest quality medical , surgical, psychiatric, pediatric and obstetrical/gynecological care, as well ... rooms. This is an employed position with Nuvance Health Medical Practice. Putnam Hospital Center is located in Putnam...region is a great choice for balancing work and quality of life, with easy commuter access to New… more
- WMCHealth (Valhalla, NY)
- …evaluations (OPPE) for all credentialed providers. + Develop, in collaboration with Quality and Medical Staff, technology systems to support the continuous, ... Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: Quality and Safety-WMC Health Union: No Position: Part Time Hours:… more
- Albany Medical Center (Albany, NY)
- …with cardiothoracic surgeons, intensivists, anesthesiologists, and nursing teams to ensure high- quality outcomes. General Inpatient Medical Management: + Conduct ... high-acuity surgical setting while also contributing to broader hospital-based medical care. Primary Responsibilities: Cardiothoracic Surgery & ICU Responsibilities:… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …requirements and standards. + Actively participates in performance improvement and continuous quality improvement activities. Premier Medical Group is an Equal ... Practitioner LOCATION: Poughkeepsie, New York JOB STATUS: Full-time JOB SUMMARY Premier Medical Group is expanding and seeking a full-time Nurse Practitioner or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Supply Chain, Business or related and one (1) year experience in inventory, quality control, warehouse environment or related field OR Associates Degree in Supply ... Business or related and three (3) years experience in inventory, quality control, warehouse environment or related field required. Excellent written/oral… more
- Centene Corporation (New York, NY)
- …contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of ... and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members...processes to promote high quality and cost-effective medical care to members + Provides feedback on opportunities… more
- Centene Corporation (New York, NY)
- …contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of ... and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members...processes to promote high quality and cost-effective medical care to members + Provides feedback on opportunities… more
- Pfizer (New York, NY)
- … medical safety professional, the role requires one to exercise the highest quality of medical judgment to inform a robust understanding of the benefit-risk ... + Working with other Pfizer functions engaged in benefit-risk management (Regulatory, Quality , Clinical, Medical , Corporate Audit, etc) to enable one … more
- Anthony Jordan Health Corp (Rochester, NY)
- …guidance of the Chief Medical Officer, is primarily responsible for providing high quality comprehensive medical care, as it applies to the context of the ... to health and health care, meeting their need for comprehensive medical , dentistry, behavioral health, and community services. Starting in northeast Rochester,… more