Manager Quality Risk Compliance Jobs in New York

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..

... and evaluates an effective, data-driven, quality assessment and performance improvement program(s) ... interdisciplinary team. Serves as a quality improvement champion and role model ... supporting the use of Continuous..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... New York Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..

Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..

Job Information Humana Bilingual Quality Auditor in Albany New York ... New York Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

... deliver the highest level of quality healthcare to patients throughout New ... practices in providing the highest quality care to its patients, in ... collaboration withThe BHS service line..

New: Medical Director Opportunity near New York City, NY!!Medical Director needed at ACS sites in the Bronx and Brooklyn.  Seeking Administrator to run the program.  Staff at ACS work in two ..

... YOUR FULL POTENTIAL.** **_We champion quality of life for all seniors ... for all seniors - and quality careers for our team members._** ... and services that promote residents..

12401Job SummaryProvides overall clinical and quality support to the Department of ... support to the Department of Quality/Performance Improvement, including workflow, quality review entries, analysis and report ... generation. Responsibilities:..

Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

Job Information Humana Bilingual Quality Auditor in New York New ... New York Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

Contact Agency Health, Department of Title Health Program Director 1 - Item 87926 Occupational Category Other Professional Careers Salary Grade 664 Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary Range ..

The Nurse Manager coordinates, directs, implements and recommends ... planning, implementation and evaluation of quality assurance and performance improvement activities ... * Holds staff accountable for compliance with facility policies..

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Albany New York Description The Risk Management Professional 2 identifies and .....

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

Physician Affiliate Group of New York (PAGNY) is one of the largest multi-disciplinary groups in the country whose main purpose is to nurture and embolden the healthcare providers who take care ..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... New York Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - New ... proper documentation relevant to Medicare Risk Adjustment reimbursement payment system.rnrnREPORTS TO: ... fellow clinicians and internal staff.rnAdvises manager..

... is accomplished through evaluating the risk assessment and infection control action ... control practices to meet institutional compliance to regulatory agency requirement and ... of services, action plan &..

Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..