• Case Manager, Medicaid Long Term Support Program

    MVP Health Care (Schenectady, NY)
    …**Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning, ... The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. + Service Authorization & Review: Conduct prospective,… more
    MVP Health Care (11/11/25)
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  • Research Scientist 2 (Biostatistics/Health…

    New York State Civil Service (Albany, NY)
    …and Management. The incumbent will work under the direction of the Assistant Bureau Director . Specific duties may include, but are not limited to: . Extract, clean, ... those for quality measurement, billing, external survey projects, service enrollment, Medicaid utilization , and other routine or ad-hoc reporting as assigned. . Use… more
    New York State Civil Service (11/11/25)
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  • Clinical Business Lead

    Humana (Albany, NY)
    …the Regional Vice President of Health Services (RVP) and Health Services Director (HSD). This position focuses on enabling connections with providers, supporting ... Identify opportunities for new clinical program initiatives by assessing cost and utilization drivers, inclusive of a chronic condition focus. + Support facility… more
    Humana (11/07/25)
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  • Case Manager, Behavioral Pediatrics (LMSW, LCSW,…

    Excellus BlueCross BlueShield (Rochester, NY)
    …consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
    Excellus BlueCross BlueShield (11/06/25)
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  • Case Manager RN Nonexempt - Part Time

    Nuvance Health (Rhinebeck, NY)
    …on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge ... satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. 17. Functions as a resource for… more
    Nuvance Health (11/05/25)
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  • Senior Project Manager, Clinical Systems - PMO

    Molina Healthcare (Syracuse, NY)
    …of IT Project accounting in project management tools. Works with Program Director on vendor management. + Proactively identifying and mitigating risks that could ... leadership with knowledge of foundational Health Insurance Operations; particularly Utilization Management, Care Management, and Clinical Operations + Ability to… more
    Molina Healthcare (11/03/25)
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  • Application Developer Analyst 1-5 - Java/GIS (TCU)

    MTA (New York, NY)
    …$108,573 Level 5 $86,703 - $123,862 DEPT/DIV : Transportation IT Products SUPERVISOR : Director , EAM Applications LOCATION : 2 Broadway, New York, NY 10004 HOURS OF ... Test and debug routines and programs for efficient processing and maximum utilization of computer systems. + Develop and maintain technical and standard… more
    MTA (10/31/25)
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  • Psychologist (Intimate Partner Violence Assistance…

    Veterans Affairs, Veterans Health Administration (Buffalo, NY)
    …to track service activities including visits, referrals, demographics, equipment utilization and Veteran satisfaction. Develops implements and evaluates clinical ... guidelines and protocols to establish appropriate utilization of services. The incumbent participates in direct Veteran,...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
    Veterans Affairs, Veterans Health Administration (10/31/25)
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  • Manager, Residency Services

    Red River (Albany, NY)
    **Position Summary:** The Manager, Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... cost center. + Manage field operatives working at a full time, or 100% utilization less time off. + Leverage SKU-based residency services to OEM equipment purchases… more
    Red River (10/29/25)
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  • Principal Advisor - Batteries

    Pacific Northwest National Laboratory (Albany, NY)
    …electricity delivery infrastructure; research, development, validation, and effective utilization of renewable energy and efficiency technologies that improve ... manufacturing, applied catalysis, advanced separations, biomass conversions, carbon capture and utilization , and hydrogen production and storage. We employ a systems… more
    Pacific Northwest National Laboratory (10/17/25)
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