• Utilization Management Representative I

    Elevance Health (Latham, NY)
    **Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... and ensures essential face-to-face onboarding and skill development. The **Utilization Management Representative I** will be responsible for coordinating cases for… more
    Elevance Health (05/21/25)
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  • Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    …the AMHS market. Leading and mentoring, negotiating, continuous monitoring of contract performance, and engaging with internal and external stakeholders to optimize ... communication capabilities. The Director ensures the team is leveraging multiple sources of data across the AMHS to facilitate best outcomes. To facilitate this, the… more
    Albany Medical Center (04/16/25)
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  • Behavioral Health UR Clinician

    Independent Health (Buffalo, NY)
    …with Case Management to address member needs. + Perform pre-service clinical consultations, concurrent and post-service clinical reviews to determine the ... BH treatment for continuity of care. + Accurately and consistently interpret required clinical criteria, medical policy, contract benefits, and State and Federal… more
    Independent Health (05/15/25)
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  • Provider Transformation Specialist (RN- New York))

    Highmark Health (Albany, NY)
    …with health care data and analytics + Experience in Lean, Six Sigma, risk management , contract management , finance management **SKILLS** + Must be ... to: Advising primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to...use of predictive analytic tools, user interfaces, population health management tools and other data based platforms… more
    Highmark Health (05/20/25)
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  • Specialty Sales Representative, Immunology

    Grifols Shared Services North America, Inc (Albany, NY)
    …with key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology/Acute SSR ... technology for call planning/targeting, field communications, field reporting, sales data analysis, reporting and generating insights. Territory to include Albany,… more
    Grifols Shared Services North America, Inc (05/13/25)
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  • Pharmacy Trade Relations Executive

    Independent Health (Buffalo, NY)
    …reporting and presentation for senior management . + Assist with negotiations on contract with manufacturers on access and data . + Review formulary strategy ... appropriateness of therapy, and maintenance of patient specific optimal therapy through clinical management of medications provided in relation to individual… more
    Independent Health (04/19/25)
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  • Sr Business Development Spec

    University of Rochester (Rochester, NY)
    …of business development experience in clinical research environment; (medical, laboratory, clinical supplies, data management , CRO, etc.) promoting a ... - Develop and implement a successful business development program for new clinical trials business opportunities with Contract Research Organizations (CRO),… more
    University of Rochester (04/27/25)
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  • Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …The ideal candidate should have a comprehensive understanding of the revenue cycle, contract management , and a keen eye for detail in identifying potential ... of education. Experience Requirements ? Minimum of 7 years of experience in contract compliance, healthcare compliance, or revenue cycle management , with a… more
    Mount Sinai Health System (04/09/25)
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  • Biomedical Equipment Support Specialist

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …Skill in documenting all services provided in support of medical equipment and clinical systems in a computerized maintenance management system. (f) Ability to ... Summary The Biomedical Equipment Support Specialist provides clinical and administrative support to staff, patients, and administrators for all matters of concern… more
    Veterans Affairs, Veterans Health Administration (05/14/25)
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  • Manager, Provider Engagement - VBP (Medicare)

    Centene Corporation (Queens, 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, ... New York. This role is critical in managing end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible… more
    Centene Corporation (04/24/25)
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