- Molina Healthcare (Rochester, NY)
- …of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions ... Manager serves as the primary contact for health plan interventions and leads the interventions...in managed healthcare, including at least 2 years in health plan quality improvement or… more
- Molina Healthcare (Buffalo, NY)
- …goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with other enterprise teams ... health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines,… more
- Independent Health (Buffalo, NY)
- …strategies, and evolving reimbursement mechanisms strongly preferred. + Solid understanding of Health Plan Accreditation (eg, NCQA, URAC) standards, NYSDOH and ... and a culture that fosters growth, innovation and collaboration. **Overview** The Manager , Quality Programs will lead the execution of identified/approved… more
- Mount Sinai Health System (New York, NY)
- …across hospitals, departments and service lines to manage projects aligned with the Health System's quality , patient safety and overall patient experience goals. ... a vibrant work environment in a maturing and evolving Health System. He/she will focus on new and existing...timely manner in order to achieve goals. The Project Manager will plan , manage and execute performance… more
- Kaleida Health (Buffalo, NY)
- ** Manager LTC Quality Improvement** **Location:** HighPointe Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** ... of equity and inclusion where diversity is valued and celebrated!_ **Position** Manager LTC Quality Improvement **Location** US:NY:Buffalo | Management |… more
- VNS Health (Manhattan, NY)
- …a primary focus on Medicare STARS and clinical program performance for VNS Health Plan . Ensures regulatory compliance with CMS and DOH standards, collaborates ... with IPAs and provider networks, and drives quality outcomes through provider education, member engagement, and audit...and Systems (CAHPS) or internal satisfaction surveys. Collaborates with Health plan staff to develop initiatives and… more
- Monroe Plan for Medical Care (Binghamton, NY)
- Care Manager II - Health Home Summary...healthcare for underserved populations. For over 50 years, Monroe Plan for Medical Care, a not-for-profit health ... Title:Care Manager II - Health Home ID:HH211 (Binghamton) Location:Binghamton Job Type:Full-time Date Posted:04/21/2025...individuals and families who are recipients of government sponsored health insurance. Monroe Plan is the largest… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' ... medical services, and the evaluation of coverage under the Plan . The Nurse Case Manager reports to...especially Word, Excel Teams, and Outlook. About At Brighton Health Plan Solutions, LLC, our people are… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Assistant Nurse Manager is a Registered Professional Nurse with broad knowledge and skills who acts as clinical leader in the daily ... functioning of the unit and oversight of quality patient care delivery, in conjunction with, or in...with, or in the absence of, the Clinical Nurse Manager . **Qualifications** + Bachelor of Science in Nursing (BSN)… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …and clinical operations * Revenue cycle management * Master's Degree About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of ... to work with all of your unique abilities. Brighton Health Plan Solutions partners with self-insured employers,...products and services to our partners. Company Vision Redefine health care quality and value by aligning… more
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