- Evolent (Albany, NY)
- …on initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/ care management (CM) correspondence development, ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Stay for the culture. **What You'll Be Doing:** **Associate Director , Correspondence Project and Program Management ** This… more
- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...cases. you will be a key member of the utilization management team. We can offer you… more
- United Therapeutics (Albany, NY)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Chobani (New Berlin, NY)
- Summary The Director of Project Management is a key leadership role within Chobani's Global Engineering and Project Management team, responsible for ... to project timelines and financial targets. The role reports to the Sr. Director of Engineering and Project Management . Responsibilities Lead Capital Strategic… more
- University of Rochester (Rochester, NY)
- …research, and medical facilities. Plays a key role in overseeing space management processes, tracking space data and utilization , and ensuring effective ... individual will be part of the Real Estate, Portfolio Management , and Planning team and will work closely with...and maintains systems for monitoring and reporting on space utilization metrics, ensuring timely and accurate data on room… more
- Villa of Hope (Rochester, NY)
- …other related services they may enroll in at Villa of Hope (Clinic, Health Homes/ Care Management , etc.). The Clinical Director operates these programs in ... with cultivation of referral sources; monitoring of cycle time for referrals/admissions; utilization management ; and documentation of services which aligns with… more
- MVP Health Care (Schenectady, NY)
- …+ Partner with Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to ensure payment integrity is embedded across the ... payment integrity? MVP Healthcare is seeking a visionary **Senior Director of Payment Integrity & Cost Containment** to lead...+ An opportunity to shape the future of health care by joining a team recognized as a **Best… more
- Access: Supports For Living (Middletown, NY)
- …IDD residential services and training certifications. + Partners with Quality Assurance on utilization review and utilization management for IDD Residential ... Assistant Director of IDD Residential Location: Middletown, NY, United...with an interdisciplinary team which includes behavior clinicians, nurses, care coordinators, counselors, therapists and other staff members. +… more
- Kaleida Health (Buffalo, NY)
- …and tactics to successfully execute, support, implement, and monitor the DRG and Utilization Management Clinical Denial teams Work Plan and, assists in the ... methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited to: utilization review,… more
- Humana (Albany, NY)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , or similar activities **Preferred ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization management experience… more