- Molina Healthcare (Yonkers, NY)
- …management. **Job Duties** ** Program Oversight & Project Management** + Directs accreditation work plans and timelines to meet NCQA and contractual ... department or cross-functional teams of subject matter experts, delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …Federal Employee Program (FEP) and National Committee for Quality Assurance ( NCQA ) accreditation standards, as appropriate to the member's case assignment. ... Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the… more
- Whitney Young Health Center (Albany, NY)
- …regulation (FQHC), ie DHHS HRSA, CMS guidelines, and NYSDOH (article 28), and all accreditation standards (eg Joint Commission and NCQA -PCMH). + Adheres to the ... Registered Nurse (RN) Care Manager - Women's Health/Pediatrics (Req 100987) Albany, NY...to review at risk population with providers to prioritize program enrollment, care planning, addressing prognosis and potential palliative/hospice… 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
- 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