• Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health , Quality Management , or Member Care ... specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral… more
    Excellus BlueCross BlueShield (08/27/25)
    - Related Jobs
  • Director, Data Governance Strategy and Standards,…

    City of New York (New York, NY)
    health background preferable. - 3+ years of experience working in (preferably health ) data management , data privacy, and information security. - Excellent ... Job Description This position will be within the Health Department's innovative Center for Population Health Data Science (CPHDS). The CPHDS is working to… more
    City of New York (07/30/25)
    - Related Jobs
  • OEPR Technology Project Manager, Bureau…

    City of New York (New York, NY)
    …Requirements 1. Master's degree from an accredited college in emergency management , public health , disaster management , emergency ... Job Description NYC Department of Health and Mental Hygiene (NYCDOHMH)'s Office of Emergency...and community readiness initiatives. - Provide effective programmatic project management for new and existing OEPR technology projects to… more
    City of New York (06/15/25)
    - Related Jobs
  • Healthcare Systems Exercise & Training Manager,…

    City of New York (New York, NY)
    …, and situational awareness software - Professional or Board Certification in Emergency Management , Public Health , Business Continuity or similar - Completion of ... Requirements 1. Master's degree from an accredited college in emergency management , public health , disaster management , emergency… more
    City of New York (07/04/25)
    - Related Jobs
  • Clinical Review Nurse - Concurrent Review

    Centene Corporation (New York, NY)
    …review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (09/04/25)
    - Related Jobs
  • Associate Director, Provider Engagement - Oncology…

    Evolent (Albany, NY)
    …RN, NP) + Must demonstrate knowledge of healthcare delivery operations, population health management best practices with proven success leading initiatives ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...+ Partner with oncology group leadership to build change management processes and support the practice pull through activities… more
    Evolent (07/25/25)
    - Related Jobs
  • Manager, Inventory Management

    Cardinal Health (Whitestone, NY)
    **_What Inventory Management contributes to Cardinal Health_** Operations is responsible for materials handling and product distribution in a distribution or ... Includes warehousing and fulfillment of materials and products, transportation, inventory management as well as demand, supply and manufacturing planning. Inventory … more
    Cardinal Health (09/05/25)
    - Related Jobs
  • Director of Social Care Network (SCN) Services

    Comunilife (New York, NY)
    …from an accredited institution. + Minimum of 10 years of experience in nonprofit, public health , or healthcare management . + At least 3 years in direct project ... Salary Travel Percentage Up to 25% Job Shift Day Job Category Management Description Comunilife Inc.is looking for an experiencedProgram Director for its new… more
    Comunilife (07/30/25)
    - Related Jobs
  • Director of Exercises and Training, Bureau…

    City of New York (New York, NY)
    …- Respond to emergencies, as needed PREFERRED SKILLS: - Experience in emergency management and/or public health emergency preparedness or response - Training and ... 1. A master's degree from an accredited college in emergency management , public health , disaster management , emergency preparedness / administration, public… more
    City of New York (07/12/25)
    - Related Jobs
  • Accreditation Program Manager - NCQA SME

    Molina Healthcare (Yonkers, NY)
    …file review standards and surveyor interactions. + Experience with conducting Utilization Management and Population Health Management file audits, reporting ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** **Program Oversight & Project Management ** +… more
    Molina Healthcare (09/08/25)
    - Related Jobs