- Northwell Health (New Hyde Park, NY)
- …responsible for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug ... to match formulary intent. This role involves critical evaluation of clinical literature, pharmacoeconomic data , and regulatory requirements to support… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... assignment accuracy, insuring the physician documentation supports the hospital coded data . Essential Accountabilities: Level I . Analyzes and audits acute inpatient… more
- Outreach Development Corporation (Brentwood, NY)
- Exciting. High-energy. Rewarding. Outreach is seeking a qualified Full Time Clinical Social Worker to work in our Men's Community Residence located in Brentwood, NY. ... The Clinical Social Worker is responsible for the delivery and...actions to improve care and services based on outcome data . + Identify, plan and implement appropriate activities under… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Trinity Health (Syracuse, NY)
- …their field of expertise. In addition, the education team assists with quality improvement, data collection and supply chain management . **What you will do:** + ... **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The Clinical Educator is responsible for designing, evaluating, revising, and… more
- University of Rochester (Rochester, NY)
- …pharmacy practice team. **ESSENTIAL FUNCTIONS** + Provides direct supervision and management responsibilities specific to a decentralized clinical team within ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- St. Mary's Healthcare (Amsterdam, NY)
- …statistics and statistical process control methods. + Knowledge and experience with data management and display and communication. Required Skills and ... Days Hours Per Week: 40 hours Hiring Range : $57,283.20-$74,484.80 Clinical Application Analyst Primary Job Responsibilities: + Responsible for planning, design,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …with advanced knowledge of statistics and statistical process control methods. + Knowledge and experience with data management and display and communication. ... Days Hours Per Week: 40 hours Hiring Range : $57,283.20-$74,484.80 Clinical Application Analyst Primary Job Responsibilities: + Responsible for planning, design,… more
- Oracle (Albany, NY)
- …professional to drive growth across **Commercial, Real-World Evidence (RWE), Clinical , Regulatory, and Safety research services** within pharmaceutical and ... large-scale engagements by aligning client needs with integrated research, consulting, and data solutions. The successful candidate will serve as a trusted strategic… more
- Bassett Healthcare (Cooperstown, NY)
- …best quality of life possible. What you'll do The Nursing Clinical Coordinator is responsible for facilitating, planning, advocating, coordinating, and integrating ... point person for complex patient issues that may be clinical in nature, service related or due to authorization...and educational activities. + Assists in the creation and/or management of a triage tool to direct patients toward… more