- LACI (New York, NY)
- …KPIs; at times, independently collect and assess pilot quantitative and qualitative utilization data to track progress. Work with innovators and partners to adjust ... and learnings, which will result in a brief pilot case study as a supportive deliverable for companies participating...have: + BA/BS degree in relevant field + Project Management : 3-5 years related project management work… more
- YAI (Manhattan, NY)
- …procedures and required staffing and resources, with an emphasis on team management , development and establishment of standards of performance and measures of ... and/or regulations including, but not limited to medical and medication management records and auditing, treatment records, progress, behavior and incident reports,… more
- CVS Health (Albany, NY)
- …actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/ manager and CMs - Serving as internal ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to...in state the candidate resides - 4+ years of case management experience - 3+ years clinical… more
- Elevance Health (Latham, NY)
- …years of managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree preferred. (MBA, ... providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Cornell Cooperative Extension (Watertown, NY)
- …programs within the Watertown City School District - Wiley Intermediate, Case Middle, Immaculate Heart Central, Ohio Elementary, North Elementary and/or ... engagement. This position works closely with the 4-H Assistant Afterschool Program Manager , Site Supervisors, Educators and school district staff to identify and… more
- Global Foundries (Malta, NY)
- …of Technology Development (FRC) Essential Responsibilities: . Responsible for hiring, people- management and -development . High customer and global team interaction ... phase into production as well as technology transfer project management from fab to fab . Communicate effectively within...requirements and programs. . Other duties as assigned by manager . Required Qualifications: . Education - Master's Degree in… more
- Deloitte (New York, NY)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... HR, Systems/IT, etc.) to convey information clearly and succinctly + Project management including coordination across multiple service lines (eg, VAT / Customs /… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in… more
- Elevance Health (New York, NY)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** **Virtual:** ... Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
- Albany Medical Center (Albany, NY)
- …to physician and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management , quality, credentialing, and other ... the high level, multifaceted competencies needed for the implementation and management of payer contracting strategies including building solid external payer… more