- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Associate Director , Clinical Strategy and Practice builds strategies for development, engagement, ... and processes for clinical community within the enterprise. The Associate Director , Clinical Strategy and Practice requires...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Albany, NY)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
- Humana (Albany, NY)
- …us put health first** We are seeking a strategic, collaborative, and results-driven Associate Director to lead the development and execution of leadership and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Albany, NY)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Insurance Fund, State Title Director of Actuarial Models Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C ... Albany State NY Zip Code 12205 Duties Description The Director of Actuarial Models will be responsible for creating,...the internal review of AI-type of models and their compliance with both New York State and NYSIF AI… more
- CenterWell (Albany, NY)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Associate in Higher Education (NY HELPS), Box OEP-4/15104 Occupational Category No Preference Salary Grade 26 ... Higher Education is seeking applicants for the position of Associate in Higher Education to work in the Office...guidance and technical assistance to NYS IHEs;* Monitor continued compliance with the Board of Regents standards for academic… more
- Humana (Albany, NY)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- CenterWell (Clifton Park, NY)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to… more
- Whitney Young Health Center (Albany, NY)
- …patient needs and expectations. + Performs other administrative tasks as assigned by the Associate Medical Director of Pediatrics or the Chief Medical Officer + ... care directly in a School Based Health Center, emphasizing accessibility, health promotion , illness prevention and continuity of care to patients presenting with… more
- Compass Group, North America (Schenectady, NY)
- …communication and guidance as needed; and, work collaboratively with the dining service director , regional director , chef, and marketing to promote and support ... develop and implement wellness related programs and initiatives and to ensure compliance with FDA nutrition labeling laws. Key Responsibilities: + Coordinates and… more
- Whitney Young Health Center (Albany, NY)
- …and age-related needs. In a collaborative effort with provider, clinical, practice associate and customer service staff, acts as central figure for triage of ... flow within the medical department. Ensures optimum, safe environment, and ensures compliance with local, state, and federal regulations (ie OSHA, and NYSDOH) within… more