- Guardian Life (Albany, NY)
- As the **Behavioral Health Clinical Consultant** resource in disability claims, you will be responsible for reviewing and analyzing a wide range of medical ... claim liability and ensuring appropriate claim outcomes. The Behavioral Health Clinical Consultant collaborates with treating providers to assist individuals… more
- Mount Sinai Health System (New York, NY)
- …to work remote or hybrid.** The Clinical Revenue Auditor for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which ... submitted for payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care… more
- Mount Sinai Health System (New York, NY)
- …skills** : Relationship-driven, collaborative, humble, and patient + **Quality decision maker** : Curious, analytical, and critical thinker with top-tier ... Hospital **Responsibilities** + **Identify AI Product Opportunities** o Conduct workflow analysis , stakeholder interviews, and data reviews to define and prioritize… more
- Highmark Health (Buffalo, NY)
- …continued progress towards actuarial credential and apply actuarial techniques and statistical analysis to at least one of several functions, which may include ... insurance premium and pricing development, claim trend analysis , experience studies, medical economics, profitability analysis , wellness studies, predictive… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... participate in walkthroughs, and contribute to problem resolution and decision -making. + Collaborate with various departments, interpreting complex requirements for… more
- CVS Health (New York, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...the effectiveness of workforce initiatives. Drive adoption of data-driven decision -making processes within the organization. + Develop the foundational… more
- Nuvance Health (Rhinebeck, NY)
- …changes precipitated by illness or disability; in participating in restorative health programs; in carrying out discharge recommendations; and in addressing issues ... resolution of social, financial and emotional problems related to illness, health care, and rehabilitation. Provides service to patients/customers in the following… more
- RVO Health (New York, NY)
- **AT A GLANCE** Healthline, the leading source of health and wellness information, is seeking a Senior Product Manager to drive the discovery, development and ... user signup rates, engagement, retention and loyalty. Healthline is part of RVO Health , the world's largest and fastest-growing digital health platform, with… more
- Mount Sinai Health System (New York, NY)
- …services in 17 intensive care units across 6 sites within the Mount Sinai Health System (MSHS). In addition, ICCM provides essential support services to patients and ... + Baccalaureate Degree in Nursing is required. Masters in Nursing or health related field is preferred. + Certification in specialty area preferred (ie… more
- Catholic Health Services (Roslyn, NY)
- Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices...Key Responsibilities + Prepares all aspects of Root Cause Analysis for reporting to NYSDOH + Communicates with and… more
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