- Highmark Health (Albany, NY)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across the Organization's footprint, based on deep understanding and knowledge of trends in other areas of the country with both… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy ... to work regional/local systems, centers of excellence, patient advocacy, specialty pharmacy customers and individuals involved with the customer journey. *Clearly… more
- Grifols Shared Services North America, Inc (Rochester, NY)
- …the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy , Critical Care, Blood Bank and other departments and stakeholders ... to fulfill customer needs and impact pull through, eg HEOR or reimbursement specialist . + Gather and provide customer insights to Grifols internal stakeholders for… more
- BriteLife Recovery (West Kill, NY)
- …Client Care Supervisor will be responsible for ensuring data accuracy, chart compliance with daily audits, reporting status of insurance needs and payments ... payments due, insurance documents scanned to the appropriate ARS members and verifying pharmacy benefits and credit cards on file are provided to the appropriate… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …improve patient care quality, and ensure data integrity and regulatory compliance . Essential Duties & Responsibilities + System Implementation & Optimization: Lead ... operations. + Workflow Analysis & Redesign: Collaborate with nursing, medical, pharmacy , and ancillary departments to map current workflows; identify opportunities… more
- Catholic Charities Family Community Services (Webster, NY)
- …Residential Manager, Assistant Residential Manager, DSPs, Behavior Intervention Specialist , clinicians, community agencies, and others involved in medical/nursing ... appointments in their clinical area. + Liaison with the pharmacy . + Checks MARS for errors and completes necessary...noise level in the work environment is usually quiet. ** Compliance :** Adheres to all applicable federal and state laws… more
- UHS (Binghamton, NY)
- …Division, nurse managers, nurse educators, nursing staff, clinical nurse specialist , nursing practice coordinator, administrative secretary, and other divisions of ... create a learning environment for student growth and development while insuring compliance to policies and regulations + Oversight of Nurse Residency Program… more
- WTW (New York, NY)
- …and subject matter experts in health management, absence and disability management, pharmacy , data analytics and compliance + Supporting the generation of ... new business by participating in prospecting opportunities as part of a broader team + Building relationships internally and collaborating effectively on cross-functional teams + Leading the client team, assigning project roles/responsibilities, and ensuring… more
- Molina Healthcare (Albany, NY)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC.… more
- WTW (New York, NY)
- …and subject matter experts in health management, absence and disability management, pharmacy , data analytics and compliance + Supporting the generation of ... new business by participating in prospecting opportunities as part of a broader team + Building relationships internally and collaborating effectively on cross-functional teams + Mentoring junior colleagues **Qualifications** **The Requirements:** + 6+ years'… more