- Baylor Scott & White Health (Albany, NY)
- …May serve in a lead consultant role for all customer contact and resource management . + Collaborate with customer data platform team to develop and optimize ... from data to evaluate performance and drive relevant business or clinical initiatives. Examine data for trends, observations, improvements and makes… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …Specialized experience includes: Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health ... and/or groups internal or external to the facility, representing Group Practice Management on clinical access issues. Promotes effective communication and… more
- Centene Corporation (New York, NY)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, ... Identifies and refers all potential quality issues to the Clinical Quality Management Department, and suspected fraud...director for second level review and determination. + Completes data entry and correspondence as necessary for each review.… more
- Mohawk Valley Health System (Utica, NY)
- …staff to facilitate accurate and complete documentation for coding and abstracting of clinical data for: capture of severity, acuity and risk of mortality ... PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with...barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory… more
- Humana (Albany, NY)
- …be passionate about collaborating and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management , Analytics, Pharmacy, etc.) to ... Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members,… more
- Outreach Development Corporation (Richmond Hill, NY)
- …to ensure clients have access to quality care. Oversees the administration, site management , and clinical aspects of the program and ensures appropriate services ... outcome measures to determine program impact & track relevant data points + Continuously analyze & modify workflows as...or higher preferred. + 5-7 years of strong program management + Clinical supervisory experience in an… more
- Catholic Health Services (Melville, NY)
- …Review Physicians (ABQAURP) preferred. 4. Knowledge, Skills and Abilities: Strong clinical acumen. Knowledge of care management principles, processes, and ... other metric reporting to inform alignment to system-wide goals. Data for dashboarding and metrics to be updated on...criteria for all levels of care). Experience with denials management . Knowledge of clinical , quality, and administrative… more
- University of Rochester (Brighton, NY)
- …in clinical setting, education, population health initiatives or care management highly desired + Ability to work independently with excellent communication and ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- Evolent (Albany, NY)
- …analytical abilities, with track record of identifying insights from quantitative and qualitative data + Prior people management experience + Ability to work ... + Previous experience in a medical economics related position within Utilization Management / Clinical Vendor Management functions + Knowledge of healthcare… more
- Molina Healthcare (Syracuse, NY)
- …as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience demonstrating strong management and communication skills, consensus ... state, and local laws and regulatory requirements affecting the medical and clinical staff. **Job Duties** + Provides medical oversight and expertise in… more