- College of American Pathologists (Washington, DC)
- …organization of board-certified pathologists and leading provider of laboratory accreditation and proficiency testing programs, the College of American Pathologists ... roadmaps for the Pathology Quality R egistry with support of CAP Enterprise Program staff; identify areas of opportunity to increase the value of registries through… more
- Fallon Health (Barnstable, MA)
- …provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region. ... delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate...needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note:… more
- Henry Ford Health System (Wyandotte, MI)
- …of hospital departments according to customer or management needs. . Assists the Manager in keeping current with all accreditation standards and regulatory ... minimal supervision, provides a variety of activities to support the Department Manager and the daily operations of Medical Staff Services department. Coordinates… more
- Integra Partners (Troy, MI)
- … Manager . + Ensure compliance with all regulatory, contractual, and accreditation standards (CMS, NCQA , state-specific requirements). + Support audit ... leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES… more
- Whitney Young Health Center (Albany, NY)
- …with local, State, and Federal regulation, ie DHHSHRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adhere to the ... guidelines, policies and procedures. The Staff Pharmacist will also support the Pharmacy Manager in leading and directing the pharmacy team, by being accountable and… more
- Hackensack Meridian Health (Edison, NJ)
- …Chair of the Family Medicine Department, Director of the Family Medicine Residency Program , and Medical Director of the Family Medicine Center. This is an excellent ... of the Department Chair in their temporary absence Director, Family Medicine Residency Program + Maintains full compliance with all ACGME Program and… more
- CVS Health (Hartford, CT)
- …quality data sets in the country. HEDIS reporting is a requirement for NCQA Health Plan Accreditation , CMS Medicare Advantage, Medicare Stars, Exchange, ... Enablement (ACE) has an exciting opportunity for an Informatics Manager to join our HEDIS Data Enablement Team. The...environment. + Experience with HEDIS or other quality measurement program . + 3+ years experience using advanced SQL querying… more
- Apex Health Solutions (Houston, TX)
- …it relates to CMS and other regulatory entities. Interacts with pharmacy benefit manager (PBM) to support the implementation of new pharmacy products or services and ... conduct frequent audits to ensure compliance with regulatory entities such as CMS, NCQA , URAC. Intervenes, as necessary, to resolve member or provider issues with… more
- Whitney Young Health Center (Albany, NY)
- …with local, State, and Federal regulation, ie DHHSHRSA and NYSDOH, and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adhere to the ... to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other… more
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