• Account Service Consultant I/II (Buffalo/WNY…

    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
    Excellus BlueCross BlueShield (06/24/25)
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  • Primary Care Physician

    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
    WMCHealth (06/19/25)
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  • Nurse Practitioner/Physician Assistant: Full-Time…

    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
    Saratoga Hospital (06/11/25)
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  • CC Field Relations Specialist I/II (Onsite:…

    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
    Excellus BlueCross BlueShield (06/10/25)
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  • Mental Health Clinician, FFS

    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
    YAI (05/30/25)
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  • Field Medical Director, Oncology

    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 (05/20/25)
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  • Speech Language Pathologist

    YAI (Bronx, 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. The Speech Language Pathologist will enjoy a consistent caseload. Evaluate and deliver therapy services to adults and school-aged children with intellectual and… more
    YAI (05/10/25)
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