• Auditor, Clinical Services (RN) Remote

    Molina Healthcare (Rochester, NY)
    …registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), ... audits as subject matter expert and fulfilling different audit team roles as required by management . +...May conduct staff trainings as needed. + Communicates with QA supervisor/manager about issues identified and works collaboratively to… more
    Molina Healthcare (07/02/25)
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  • Clinical Supervisor-(HRA) West Farms

    Comunilife (Bronx, NY)
    …records and supervision notes; prepare regular and special reports as required; + Oversee quality assurance of case management services to ensure compliance ... with at least four (4) years supervisory experience, overseeing a case management team . Individual, family and group counseling experience required, particularly… more
    Comunilife (06/13/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …the appropriate processing / adjustment area (Risk Adjustment/Actuarial Services). * Performs vendor Quality Assurance ( QA ) and sole source PUD coding ... This position is responsible for risk adjustment coding and quality assurance validation for the following programs,...audit findings. Presents results and learning opportunities to the team . * Serves as a coordinator and key business… more
    Excellus BlueCross BlueShield (05/20/25)
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  • Activities Assistant

    Sunrise Senior Living (New City, NY)
    … Assurance and Regulatory Compliance** + Understand and demonstrate proficiency with the Quality Assurance Process ( QA ) and essential quality service ... resident centered activities and programming and partner with community team in striving for excellent quality care... care and service delivery as measured in the QA process. + Partner with community team … more
    Sunrise Senior Living (06/17/25)
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  • Practice Manager - Family Medicine - St. Mary's

    Rochester Regional Health (Rochester, NY)
    …Health Management , Meaningful Use, Patient Complaints and participation in Quality Assurance measures. In addition, assures compliance with organizational ... limited to, professional billing experience, proficiency in Micro Soft Excel, financial management , personnel management , team building, and appropriate… more
    Rochester Regional Health (07/03/25)
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  • Business Analyst or Business Analyst II or Sr.…

    NYSERDA (Albany, NY)
    …advance innovation across NYS. The person will work closely with members of the Innovation Team , NYSERDA's Performance Management Team , and Finance Team ... II/ Sr. Business Analyst is responsible for the collection, management , and analysis of data related to investments made...procedures that result in increased staff and vendor compliance, quality assurance , and remedial actions. + Perform… more
    NYSERDA (05/18/25)
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  • Manager, Clinical Administration

    University of Rochester (Rochester, NY)
    …national level + Other clinical duties include Instructor of hands-on wound care + Quality Assurance Liaison for Department of Surgery + Participates in case ... system issues related to quality -of-care delivery, developing quality indicators + Tracks and trends QA ...for various sources as well as data extraction and quality assurance of data integrity + Creates… more
    University of Rochester (05/28/25)
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  • Doc Imaging Tech I, Rev Cycle

    University of Rochester (Rochester, NY)
    …Fair Credit Act. **ESSENTIAL FUNCTIONS** **With general direction of the Patient Services Management Team and with latitude for initiative and judgment:** + ... that accounts are processing appropriately within the billing systems. Perform quality assurance checks regarding outgoing correspondence, requesting and… more
    University of Rochester (04/07/25)
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  • Business Control Executive (Global Payments…

    Bank of America (New York, NY)
    …to enterprise-wide standards + Oversees the implementation of optimized controls and enhanced Quality Assurance ( QA ) practices to support business efforts + ... financial crimes. Job expectations include providing oversight and establishing effective quality assurance and control processes. **Required skills: Must have… more
    Bank of America (06/13/25)
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  • Spot RWA Calculation and Analysis Sr. Grp Mgr…

    Citigroup (New York, NY)
    …accuracy of Capital Reporting through review, challenge, oversight and performance of certain quality assurance functions + Work closely with the relevant Data ... Data Leads and team to maintain and continue to enhance data quality throughout the end-to-end data lifecycle including issues identified with proxies etc. The… more
    Citigroup (06/07/25)
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