- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. We are seeking a QA Audit Manager to lead Datavant's Quality Assurance Audit function. This role is ... process improvement across our audit operations. The QA Audit Manager provides day-to-day...performance and accelerates the establishment of a scalable, high-impact quality assurance framework. **What You Will Do:**… more
- Molina Healthcare (Albany, NY)
- …overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable...of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM),… more
- Molina Healthcare (Albany, NY)
- …leading readiness, cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance , risk management, and escalation handling in a ... : Ensure alignment to CMS, HIPAA, state regulations, and audit readiness. Establish governance, RAID (risks/assumptions/issues/dependencies), and quality … more
- Datavant (Albany, NY)
- …closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality ... realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The… more
- Cardinal Health (Albany, NY)
- … assurance concepts and technical capabilities, the Senior Specialist supports the Manager , Quality Assurance in quality audits and develops ... **_What Quality Assurance / Supplier Quality...consisting of the following: (1) Risk Assessment Program, (2) Audit Program, (3) Maintenance of Quality Agreements,… more
- Fresenius Medical Center (Clifton Park, NY)
- …consistent and timely manner. + Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, ... with those of the region, division, and company. Implements quality goals and action plans to achieve quality...related data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and… more
- Parexel (Albany, NY)
- **_Parexel FSP has an exciting opportunity for a Clinical Quality Operations Manager ! This is a remote role !_** **Position Purpose:** The Clinical Quality ... Manager (CQOM), in collaboration with the Clinical Quality Operations Lead (CQOL) and Head of Clinical ...academic institutions). + Facilitate and oversee the responses to audit and inspection observations as appropriate. In addition, the… more
- CenterWell (Albany, NY)
- …us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... . + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling… more
- Bowman (Albany, NY)
- …broad areas of assignments and related fields. Review work produced by staff for quality assurance . **At the Operational and Company Level** + Oversee and report ... invoice date. + Aid, as appropriate, the Senior Account Manager in collections efforts after 90 days. + Prepare...and accounts receivables issues. + Assist with annual financial audit preparation as needed. + Maintain petty cash account… more