- PNC (New York, NY)
- …to contribute to the company's success. As a Chief Investment Office ALM Portfolio Management (IC) Managing Director within PNC's Asset & Liability Management ... may be performed remotely, at manager's discretion. ALM Investments - Portfolio Management - (Managing Director ) PNC's bank portfolio (ALM investments) team… more
- Mastercard (Harrison, NY)
- …people, businesses and governments realize their greatest potential._ **Title and Summary** Director , Product Management Title: Regional Product Director of ... Intelligence solutions in North America.They will manage threat intelligence solution utilization , oversee regional revenue and risk management , and coordinate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational ... Job Description: Summary: Conducts case management program activities in accordance...consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered… more
- Molina Healthcare (New York, NY)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case ...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- Albany Medical Center (Albany, NY)
- …to physician and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management , quality, credentialing, and other ... The Director builds external relationships with payers' senior network management , leads meeting, oversees and/or prepares presentations, and is responsible for… more
- IBM (New York, NY)
- …products that incentivize effective utilization . * Partnering closely with Product Management , Engineering and Finance on Business Case Analysis and Decision ... performance indicator (KPI) for the Cloud Economics - Program Director Business Analyst role is the achievement of vended...effective network and asset utilization . * Technology utilization to optimize Cost Management - Saves… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director , The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …care management rounds. + Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working with the ... calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN)...Develops and implements the BH sections of the Quality Management / Utilization Management (QM/UM) Plan, including… more
- Evolent (Albany, NY)
- …review process. + Participates in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, + ... with:** Evolent Health is looking for a Field Medical Director to be a member of the Evolent clinical...the lives of our members. **What you'll be doing:** Utilization Management + Supports pre-admission review, … more
- Elevance Health (Latham, NY)
- …**Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and ... when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more