- Verint Systems, Inc. (Albany, NY)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... covering the four pillars. + Responsible for all aspects of leave management , tuition reimbursement, paid time off, annual holiday schedules and worker's… more
- Kyndryl (New York, NY)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. Contribute to Profitable ... development; Secure client references Operational Excellence: + Achieve individual and team utilization targets + Lead the design of complex engagements and take… more
- Travelers Insurance Company (Albany, NY)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Northwell Health (Lake Success, NY)
- …by developing, implementing and monitoring systems for: Business Operations, Financial Management , Human Resource Management , Information Management , ... Governance, Patient Care Systems, Quality Management and Risk Management . Job Responsibility Business Operations- Collaborates with management to… more
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Health in interactions with partners in the areas of energy management , decarbonization and resiliency, including local, state and federal agencies Oversight… more
- Wolters Kluwer (New York, NY)
- …of legal, business, tax, accounting, finance, audit, risk, compliance and healthcare rely on Wolters Kluwer's market leading information-enabled tools and software ... Wolters Kluwer (WK) - CT Corporation - advocates for the proper utilization , maintenance and improvement of CT's core enterprise applications. This strategic… more
- Northwell Health (Sleepy Hollow, NY)
- …and enhance competence of clinical staff. + Supports implementation and utilization of clinical nursing research. + Incorporates System and institutional values, ... to establish Hospital as a pre-eminent source of professional education, healthcare information and patient care delivery. + Evaluates program/student placement… more
- Kyndryl (New York, NY)
- …in one of the following domains: Zero Trust (including Identity & Access Management ), Cloud Security, Network Security, Security Operations & Response, or Strategy & ... ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Key Responsibilities** +… more
- Guthrie (Binghamton, NY)
- …a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization ... recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with… more
- Molina Healthcare (Albany, NY)
- …use of information from multiple sources, including claims/encounters, pharmacy, utilization management , clinical indicators, industry benchmark, and/or ... plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina...SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit… more