- SUNY Upstate Medical University (Syracuse, NY)
- …Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, experience with level of ... care screening criteria, and CMS regulations as related to hospital admissions. Experience interfacing with health care payers/regulatory agencies. Work Days: Monday… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …products, services and policies in accordance with MTM, NCQA, HIPAA, NYSDOH, CMS and other legislative requirements. + By utilizing appropriate resources, resolves ... expected and required. + Performs other functions as assigned by management . Minimum Qualifications NOTE: We include multiple levels of classification differentiated… more
- BronxCare Health System (Bronx, NY)
- …department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify patterns and ... all telephone communications in accordance with department procedures using Care Management and other resources, escalates issues related to business associate… more
- Guthrie (Binghamton, NY)
- …equipment. Ensures that education is made available to staff so that OSHA, CMS , State of Pennsylvania, and other regulatory agency requirements are met. Collaborates ... with other key stakeholders when developing, updating, and maintaining policies and procedures basing them on most current evidence. Assists in the promotion of evidence‐based nursing practice. Contributes to the development of research interest and skills of… more
- Catholic Health Services (Smithtown, NY)
- …of 15-17 patients + Able to adapt and be flexible to new CMS regulations. Hospitalist Qualifications: + Doctorate degree in Medicine or Osteopathic Medicine, + ... ACLS/BLS Certified + Trained in Family Practice or Internal Medicine + Board Certified or Eligible in Internal Medicine/Family Practice Salary Range USD $265,000.00 - USD $330,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass… more
- Warner Bros. Discovery (New York, NY)
- …even to the wonders of Planet Earth. Behind WBD's vast portfolio of iconic content and beloved brands, are the _storytellers_ bringing our characters to life, the ... and strategic product leader to serve as Senior Vice President, Product Management , Platforms. This executive will oversee the platforms that power our editorial,… more
- Mount Sinai Health System (New York, NY)
- …The Senior Director Patient Financial Services for the Mount Sinai Health System (MSHS) is responsible for hospital-based Billing and Accounts Receivable performance ... Senior Director is a key leader within the Patient Financial Services Management team, responsible for overseeing teams within the Patient Accounts department. This… more
- Weill Cornell Medical College (New York, NY)
- …and coding deficiencies. + Manage and track Compliance Audit Reports and Management Action Plans, ensuring timely follow-up and resolution. + Provide direct, ... institutional improvement initiatives and quality metrics. + Participate in management sanction screening, OIG/OMIG compliance monitoring, and payer-related audit… more
- Amazon (New York, NY)
- …modern martech stacks (CRMs, CDPs, marketing automation, personalization engines, and content platforms). You will own the Journey Orchestration program from ... and evolve the integration of enterprise marketing platforms (CRM, CDP, CMS , marketing automation) to enable sophisticated orchestration, testing, and measurement. *… more
- Guidehouse (New York, NY)
- **Job Family** **:** Marketing Management **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** The Marketing Lead helps ... showcase page. Write, edit, and calendar social posts, in partnership with our content team. + Manage segment and solution-specific updates on the firm's internal… more
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