- 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 ... **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management | Full-Time **Req ID** null Equal Opportunity Employer Kaleida Health is… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for… more
- Catholic Health Services (West Islip, NY)
- …hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning ... Overview The Director of Care Management is responsible...collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed… more
- Outreach Development Corporation (Richmond Hill, NY)
- …potential. For more information, please visit www.opiny.org. Position: Assistant Program Director CCBHC The Assistant Program Director assists the Program ... for outpatient substance use disorder treatment. Works with the Program Director to develop and implement policies and procedures that encourage effective… more
- Molina Healthcare (Buffalo, NY)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Evolent (Albany, NY)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management team. We can offer you a… more
- Pfizer (Albany, NY)
- …for specific contracts and communicate learnings across the Vaccine Account Management /National Account Director organizations to increase effectiveness. This ... **ROLE SUMMARY** The National Vaccine Contracting Director (NVCD) will serve as the primary interface...KPIs include, but are not limited to, vaccine portfolio utilization , protocol development, contract closure and performance, peer and… more
- CBRE (New York, NY)
- …Consulting, Workplace Strategy, and Workplace Experience. **Job Summary** A Sr. Account Director provides leadership, management , and development of a client ... and/or line of business. **Key Relationships** Reports to the Business Unit Director . Functional management of account staff including Engineers, Technicians,… more
- Mount Sinai Health System (New York, NY)
- …your career to new heights with this incredible opportunity! The Program Director is a credentialed Physician Assistant (PA), responsible for daily operations of ... from accredited PA Program **Responsibilities** **KEY RESPONSIBILITIES** : The Program Director is responsible for ensuring safe, high-quality patient care in… more
- Molina Healthcare (NY)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
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