Healthcare Operations Jobs

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

Contact Agency Corrections and Community Supervision, Department of Title Deputy Commissioner/Chief Medical Officer Occupational Category Administrative or General Management Salary Grade NS Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Albany New York Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..

Job ID 21000LX4Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Albany New York Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..

... Advisor - Medicaid Provider Service Operations in Albany New York Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..

Job ID 21000MUSAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

Job ID 21000L6OAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Job ID 21000NCQAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

VISTA has partnered with high growth and innovative national leader to deliver frontline preventive and urgent care in the homes of complex, frail, and vulnerable patients. Highlights of this full-time position ..

Job ID 21000MLSAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

VISTA has partnered with high growth and innovative national leader to deliver frontline preventive and Urgent Care in the homes of complex, frail, and vulnerable patients. Highlights of this full-time position ..

Job Information Humana VP, Clinical Operations in Albany New York Description ... New York Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...

Description The Medical Records Retrieval Representative (Risk Adjustment Representative 2) works with regional providers to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted ..

Job ID 21000LSNAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..

Job Information Centerwell Nurse Practitioner, Implementation and Training Team in Albany New York Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Job Information Humana Senior Strategy & Program Development Professional (Remote) in Albany New York Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... New York Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..