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Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..
Job Information Kindred at Home Care Transition Liaison, Home Health Full Time in Ballston Spa New York The Care Transition Liaison manages an assigned, limited number of key facility and/or physician ..
Director, Corporate Counsel - Transactions The candidate will be drafting, negotiating and bringing to execution agreements critical to the company’s pre-clinical research and clinical development operations. Providing legal support for a ..
Director, Corporate Counsel - Contracts The candidate will be drafting, negotiating and bringing to execution agreements critical to the company’s pre-clinical research and clinical development operations. Providing legal support for a ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
An award-winning pediatric hospital is seeking a skilled Nurse ... their team in New York!This hospital is a leading pediatric medical ... oncology, neurology, and more. The hospital is dedicated..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Albany New York Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
... accurate record of activity in compliance with established regulations. Keeps abreast ... be utilized to assist with hospital rounds. Experience: Knowledge of clinical ... WMCHealth Network, includes Good Samaritan..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Contact Agency Health, Department of Title Area Office Director - 51365 Occupational Category Administrative or General Management Salary Grade 663 Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary Range From ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Albany New York Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
A law firm is seeking an Environmental Associate Attorney for their Albany, NY, office. The ideal candidate should have 4-6 years of experience and possess the following qualifications:Job Overview: The Environmental ..