• Medical Director, Clinical Review and Care…

    MVP Health Care (Rochester, NY)
    …criteria (eg, InterQual, MCG) and relevant regulatory/accreditation requirements (eg, CMS, NCQA , DOH) + Knowledge of quality improvement including HEDIS, STAR, CAHPS ... measures is preferred. + Familiarity with quality improvement and population health strategies + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction… more
    MVP Health Care (07/29/25)
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  • LPN Clinical Supervisor

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Graduate from an accredited LPN program and has a current New York State LPN license. Five (5)+ years' nursing experience; Two (2)+… more
    Whitney Young Health Center (07/24/25)
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  • Field Medical Director, Physical Medicine…

    Evolent (Albany, NY)
    …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ( NCQA ) guidelines. + Aids and acts as a resource to Initial Clinical ... Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (07/24/25)
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  • Director, Credentialing and Provider Enrollment

    Aspen Dental (East Syracuse, NY)
    …in a growing healthcare environment. + Strong working knowledge of CAQH and NCQA guidelines, as well as industry standards for credentialing best practices. + ... Proficient in navigating state regulations + guidance on requirements. + Strong working knowledge of the end-to-end credentialing process, including primary source verification, delegated credentialing and dental plan provider enrollment. + Proven career… more
    Aspen Dental (07/24/25)
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  • Volunteer and Community Engagement Coordinator

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Associates Degree required. Three (3) to five (5) years of related work experience demonstrating successful development experience in… more
    Whitney Young Health Center (07/23/25)
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  • Pharmacy Technician - Part-time

    Whitney Young Health Center (Albany, NY)
    …ie DHHSHRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adhere to the National Patient Safety Goals as defined by the ... Joint Commission and WYH. + Complete other duties as assigned. Requirements MINIMUM QUALIFICATIONS: High School diploma or GED equivalent certification, Certified Pharmacy Technician (CPhT) within one year of hiring, valid driver's license, and previous… more
    Whitney Young Health Center (07/23/25)
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  • Care Coordinator - Community Prevention…

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Associate's degree in a human services related field and 3 years' experience providing case management/care coordination in a… more
    Whitney Young Health Center (07/23/25)
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  • Information Associate

    Whitney Young Health Center (Albany, NY)
    …ie DHHS HRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the National Patient Safety Goals as defined by the Joint ... Commission and Whitney M. Young Jr. Health Center. + Completes all other duties as assigned. Requirements MINIMUM QUALIFICATIONS: High school diploma or GED. , One (1) to three (3) years' experience in a service oriented administrative office dealing with the… more
    Whitney Young Health Center (07/23/25)
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  • Remote Credentialing Specialist

    Insight Global (New York, NY)
    …is a must) Experience submitting files in accordance with NCQA standards Familiarity with state-specific credentialing requirements Previous experience working ... for a CVO (Credentials Verification Organization) Experience working in a team environment High attention to detail including effective communications at all organizational levels Demonstrated organizational skills and ability to adhere to timelines and SLA… more
    Insight Global (07/19/25)
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  • Occupational Therapist

    YAI (Manhattan, NY)
    …3 Patient-Centered Medical Home by the National Committee on Quality Assurance ( NCQA ). Job Title : Occupational Therapist Job Overview : Evaluate, planning, and ... provision of Occupational Therapy Services for pediatric/adults with intellectual and developmental disabilities. Key/Essential Functions & Responsibilities : + Instruct/provide training on home therapeutic programs and/or assistive devices to eliminate or… more
    YAI (07/19/25)
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