- Elevance Health (New York, NY)
- …to members and providers. + Provides guidance for clinical operational aspects of a program . + Conduct peer -to- peer clinical appeal case reviews with ... management responsibilities including clinical policy development, improvement of quality , cost, and outcomes, program development/implementation, and… more
- Bassett Healthcare (Cobleskill, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. About the department "Why Cobleskill Regional Hospital? Part of ... the National Rural Health Association (NRHA)-a recognition of our commitment to high- quality , rural healthcare. Founded in 1956, Cobleskill Regional Hospital is a… more
- Mount Sinai Health System (New York, NY)
- …4. Conducts Root Cause Analysis investigations which include assessing need for focused review by departments, and/or clinical chairpersons for peer reviews. 5. ... to staff to enhance patient safety, promote patient safety, quality of care, and minimize loss to protect the...supports the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and… more
- Pfizer (New York, NY)
- …studies at scientific conferences and in peer -reviewed journals + Participate in RWE/Epi peer review of study protocols and study reports + Provide SME on US ... Integrated Evidence Plan (IEP). The SD will author and review study protocols, reports, and presentations, and will be...and others. The SD will be accountable for the quality , timeliness, and efficiency of their RWE/Epi deliverables. The… more
- Evolent (Albany, NY)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Evolent (Albany, NY)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Evolent (Albany, NY)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Molina Healthcare (NY)
- …analysts on software applications, business domain and design standards. * Conducts peer review of other analysts (internal and contract staff) to ... software engineers on multiple projects for project deliverables, assess deliverables' quality , plan and implement corrective and preventive actions to improve… more
- City of New York (New York, NY)
- …participating in Medication-Assisted Treatment (MAT). They will develop and oversee the peer support program and supervise the establishment and ongoing ... operation of a peer support program . They will implement and...in custody. - Conduct regular check-ins to evaluate the quality of engagement, ensuring effective communication and addressing any… more
- Molina Healthcare (NY)
- …program or program change is possible within existing system. + Conducts peer review of other developers (internal and contract staff) to ensure standards ... and quality . + Responsible for quality deliveries for...+ Responsible for presentations and solutions submitted to technical peer review committees. + Ownership to provide… more