Healthfirst
Clinical Quality Manager
New York, NY · Contract
Sponsorship not specified$83k-$120kDetected 1 day ago
FDA RegulatoryCommunicationRegulatory Affairs
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odds of building a lasting career here
26Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds (Level II)66
Fits your clock70
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About the role
- The Clinical Quality Manager with members and providers to ensure members receive appropriate services.
- HF Management Services, LLC complies with all applicable laws and regulations.
- HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
Responsibilities
- Collaborates with other departments to maximize member outreach for preventive services and chronic disease management.
- Supports regulatory affairs, as deemed necessary by management.
- Documents all relevant interactions in appropriate systems
Compensation
- As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decisio
Benefits
- Reviews billing codes, medical records, and claims submission process to ensure accuracy
- Assists in writing member and/or provider articles in relation to HEDIS, QARR, Medicare Advantage and/or health promotions for HF newsletter.
- Completes on-site visits on a regular basis to implement the work plan and to conduct provider education sessions regarding appropriate coding practices and chart documentation.
Visa & Work Authorization
- rmation, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployme
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This listing is sourced directly from Healthfirst's careers page and normalized into a canonical job model.