- Molina Healthcare (Albany, NY)
- …serves as a key strategic partner in driving health plan financial performance . This role focuses on identifying, leading, and executing operational initiatives tied ... claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborate with operational teams,… more
- Molina Healthcare (Albany, NY)
- …role executes and monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes ... claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborates with operational teams,… more
- Molina Healthcare (Rochester, NY)
- …role executes and monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes ... claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborates with operational teams,… more
- Bassett Healthcare (Cooperstown, NY)
- …Develops and implements educational programs to improve patient outcomes, based on Performance Improvement and other data. Identifies issues requiring nursing or ... needs of the nursing staff and for promoting high quality clinical performance to enhance patient outcomes. Utilizes creative and innovative strategies to address… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Identify and assess the business impact of trends * Evaluate financial performance by comparing and analyzing actual results to historical financial results, perform ... a high level of understanding of the entire Revenue Cycle, including Key Performance Indicators (KPIs) * Routinely analyzes Revenue Cycle data to help identify… more
- Molina Healthcare (Yonkers, NY)
- …quality improvement opportunities. + Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from ... the team in providing physician leadership and expertise in the performance of prior authorization, inpatient concurrent review, discharge planning, case management… more
- Molina Healthcare (Syracuse, NY)
- …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... information of variations to the encounters, to find/propose ways to improve upon performance results, to identify potential risks to the organization and to lead… more
- Norstella (Albany, NY)
- Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... provide positive and constructive feedback with kindness, and accept opportunities for improvement with grace and gratitude. We use this principle across the… more
- Molina Healthcare (Buffalo, NY)
- …state, federal, and internal audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory ... oversight for the Enrollment team, including but not limited to hiring, performance , training, coaching, production and appropriate terminations. + Ensures staff is… more
- Bassett Healthcare (Cooperstown, NY)
- …directed and/or mentored by a licensed pharmacist. Participates in continuous performance improvement and regulatory compliance efforts of the ... department/service. Takes responsibility for quality improvement efforts and then monitors processes and results. Supports development of policies and procedures for… more