- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more
- Molina Healthcare (Buffalo, NY)
- …including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow ... in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains relationship with… more
- Molina Healthcare (Yonkers, NY)
- …Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. ... populations. + Collaborate with legal, claims, provider relations, finance, and compliance departments to ensure coordination and alignment on recovery efforts. +… more
- Molina Healthcare (Syracuse, NY)
- …+ Coordinate with auditors in their requests for financial and compliance information including regulatory, external, and internal audit review (including ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Sharecare (Albany, NY)
- …delivery and integration of Protected Health Information to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched ... compliance in the industry with 100% of requests and...looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The… more
- Wolters Kluwer (Albany, NY)
- Senior Field Sales Manager - Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies ... Coding Solutions. **_ This position will work from a remote office and can be based anywhere in the...minimum of 5 years Business to Business Sales Experience; Healthcare or Compliance -driven Industry Experience preferred **CORE… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN license...clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work… more
- GovCIO (Albany, NY)
- …in governance and compliance principles and best practices + Experience in Healthcare IT systems or solutions + Excellent planning and product oversight skills + ... **Overview** GovCIO is looking for a Project Manager to join our Health PMO team. The...organizational strategy and objectives. This is a fully US-based remote position with core hours of operation from Monday… more