• Medical Director, MSK Surgery

    Evolent (Albany, NY)
    …to the support services review process. Responsible for the quality of utilization review determinations, including appeals . + Provides input into audit ... training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts… more
    Evolent (05/20/25)
    - Related Jobs
  • Director of Care Coordination

    Catholic Health Services (West Islip, NY)
    …Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and ... is responsible for providing overall management of the Care Coordination department responsible for patient care coordination, including oversight of Managers of… more
    Catholic Health Services (07/18/25)
    - Related Jobs
  • Senior Inpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department : Health Info Mgmt-WMC Health Union: No Position: Full Time ... Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the… more
    WMCHealth (06/26/25)
    - Related Jobs
  • Physician Support Representative III

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500195 Medicine/AIR Ambulatory Work Shift: UR - Day (United States of ... GENERAL PURPOSE Under the direct supervision of the Practice Manager , Clinic Director and Nurse Manager works...effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. +… more
    University of Rochester (07/19/25)
    - Related Jobs
  • Acct Rec Biller Collections

    Kaleida Health (Buffalo, NY)
    **Acct Rec Biller Collections** Department : KH Patient Financial Services **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: ... 9 **Job Description** **Under the direction of the assigned Supervisor or Manager of Patient Financial Services, perform activities including billing and follow-up… more
    Kaleida Health (07/18/25)
    - Related Jobs