- Evolent (Albany, NY)
- …Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS, NCQA , Milliman). **To comply with HIPAA security standards (45 CFR sec. ... 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …services, and policies in accordance with MTM, Corporate Service strategy, NCQA , and legislative requirements. + Responds to sales/retention team requests for ... assistance in the field and provide support where needed regarding new and existing business activity to include completion of group information. + Assists with the development and implementation of new groups or converted groups as directed. Manages group… more
- WMCHealth (Port Jervis, NY)
- …1 hour from New York City. Our primary care practices are all NCQA accredited Patient Centered Medical Homes (PCMH); where our team of healthcare professionals ... provide convenient access to high quality, coordinated care to the patients and communities they serve. Qualifications: . Must be board eligible or board certified in internal medicine or family medicine . MD/DO license . Active New York State medical license… more
- Molina Healthcare (Albany, NY)
- …and experience **PREFERRED EXPERIENCE:** * Knowledge of, and familiarity with, NCQA , CMS, and State regulatory submission requirements * Experience working in ... a cross-functional, highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green Belt, Six Sigma… more
- Saratoga Hospital (Galway, NY)
- …phone, 1:15 + This practice has earned National Committee for Quality Assurance ( NCQA ) recognition, certified as a Level 3 Patient-Centered Medical Home. + EPIC EMR ... across Saratoga Hospital and the Albany Med Health System + Laboratory Draw Station on-site one morning per week and point-of-care testing + State-of-the-art ancillary services offered through Saratoga Hospital in Saratoga, Wilton and Malta. + Excellent… more
- Saratoga Hospital (Saratoga Springs, NY)
- …care practices in our system has earned National Committee for Quality Assurance ( NCQA ) recognition, and certification as a Level 3 Patient-Centered Medical Home * ... Provider friendly EMR: EPIC * State-of-the-art ancillary services are located at the hospital and ambulatory service sites, including Wilton Medical Arts, just 3 miles away. At Saratoga Hospital Primary Care, the Nurse Practitioner or Physician Assistant… more
- Saratoga Hospital (Saratoga Springs, NY)
- …care practice in our system has earned National Committee for Quality Assurance ( NCQA ) recognition, and certification as a Level 3 Patient-Centered Medical Home * ... Provider friendly EMR: EPIC * State-of-the-art ancillary services are located at the hospital and ambulatory service sites, including Wilton, just 9 miles away. Candidates must have two or more years of experience. The Nurse Practitioner or Physician Assistant… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …and policies in accordance with MTM, Corporate Service strategy, NCQA , NYSDOH, OLAs and other legislative/contractual requirements. + Demonstrates commitment ... to continuous improvement through sharing of best practices across the entire organization. + Accountability with strong business, planning, accuracy, and time management skills to self-manage and prioritize while performing multiple tasks and… more
- YAI (Manhattan, NY)
- …Level 3 Patient-Centered Medical Home by the National Committee on Quality Assurance ( NCQA ). PHC is unique in its quality of medical, dental, mental health, ... rehabilitation and specialty care provided to individuals with disabilities and their families. Key/Essential Functions & Responsibilities + Providing individual, family or collateral psychotherapy to people with intellectual and developmental disabilities +… more
- 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
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