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The team independently maintains the HEDIS/QARR data repository that informs reporting of HEDIS, QARR, and PCMH data to NYS DOH and CMS. To that end, the team carries the responsibility of ensuring the monthly rates and annual HEDIS and QARR submissions are timely, and quality checked for accuracy and completion.
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The vendors include, but are not limited to: HEDIS software vendor, member rewards vendor, communications vendor, and provider and member portal vendor, as well as the CMS and NY state-mandated vendors for data transmission.
$131,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Provide educational support to physicians and staff to ensure process improvement and increase member satisfaction, member retention, continuity of care and drive HEDIS and QARR improvement activities.
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Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services, required. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.
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HEDIS experience strongly preferred. Serves as database administrator and facilitates biannual MCG-IRR testing (Milliman Care Guidelines-Inter Rator Reliability) that is administered to clinical and medical director staff.
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Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing. Provide subject matter expertise to guide decision-making and support business process re-engineering efforts.
$125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As part of this, the Customer Support Manager will need to have a sound understanding of brokerage operations and requirements. The Customer Support Manager will report directly to the COO and play a key role in customer retention and business expansion.
$125,000 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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We are seeking a Senior Financial Systems Analyst who will support Workday Financials and Workday Reporting on a day-to-day basis focusing on unlocking its vast reporting possibilities. Support Workday Financials through the configuration of business processes, condition rules, validations.
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Under the direction of the Executive Vice President for Real Estate Development, the Data Analyst will play an important role in executing NYCHA’s ongoing efforts to recapitalize and rehabilitate its stock of public housing apartments.
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Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner, required. These clinicians provide primary and palliative care across multiple phases of patients’ life journey through home visits for acute, annual, urgent, and end of life care as well as virtual visits to manage chronic conditions.
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Title: Trade Support Analyst I. The Delta One & Synthetic Prime Brokerage (SPB) Trade Support team provides essential operational risk management and control, preserving and enhancing the firm s assets and its reputation.
$59 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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As a Wholesale Client Support - Regulatory Affairs Business Risk you will be successful in assisting the Wholesale Business Division with identifying, mitigating, driving change and resolving business risk issues with a specific focus on BSA/AML risks.
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The Analyst will be a key personal support role to senior commercial stakeholders while collaborating with other desks on ad hoc projects and tasks related to archiving and auditing of commercial documents.
$100,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our client, a leading financial services company is hiring a Senior Risk Analyst on a long-term contract basis. He/ She will have the opportunity to work with senior stakeholders in 1LoD and 2LoD. He/ She needs to leverage the analytics expertise on both the loss models and scenario models to support the firmwide stress testing program.
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The Senior Data Analyst (AIU) leverages their strong data programming and analysis skills to manage project teams’ scientific work with complex data sources to produce rigorous policy-relevant analyses and outputs to inform understanding of sexual and reproductive health outcomes, needs, services and impacts globally.
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hedis job Title: decision support analyst in New York, NY
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