• Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health , our primary focus is… more
    Catholic Health Services (07/24/25)
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  • Group Underwriting Consultant Senior

    Elevance Health (Latham, NY)
    …recommends product portfolio changes. + Assists in establishing rating and administrative procedures. + Participates in major multi-functional teams as underwriting ... + Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements. **Minimum Requirements:** Requires… more
    Elevance Health (07/22/25)
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  • Critical Time Intervention (CTI) Team Leader…

    Helio Health Inc. (Binghamton, NY)
    Overview To support the Mission of Helio Health , Inc., theCTI Team Leaderwill provide comprehensive care management and coordination of services to Critical Time ... from hospital to community care. CTI Team Leader Helio Health is on a mission to treat and promote...oversight and budget development. + Participates in Management and Administrative committees as assigned. + Assures program record documentation… more
    Helio Health Inc. (07/11/25)
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  • Assistant Director, HIM Operations

    Catholic Health Services (Melville, NY)
    Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health , our primary focus is… more
    Catholic Health Services (06/06/25)
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  • Medical Assistant, ACN Specialty Clinic - 1199…

    BronxCare Health System (Bronx, NY)
    …the position is filled. The Medical Assistant is an essential part of a health care team. He or She:a. Assists practitioner in providing patient careb. Interacts ... and participation may include data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation… more
    BronxCare Health System (07/05/25)
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  • Care Navigator - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …of member information and adheres to company policies regarding confidentiality. + Ensures compliance with the VNS Health Plan 's policies and procedures ... non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with...as all Federal and State + regulations. + Provides administrative support to care coordination staff + Performs related… more
    Mohawk Valley Health System (07/09/25)
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  • Deputy Commissioner, Human Resources Operations

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources...Alert and recommend appropriate actions to HRS leadership concerning compliance with HR policies and procedures. - Keep abreast… more
    City of New York (07/30/25)
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  • Palliative Care Coordinator Registered Nurse (RN)

    Catholic Health Services (Smithtown, NY)
    Overview St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. St. ... building. Our nurses, physicians, and support staff are devoted to providing advance health care in an environment of compassion to our patients, their families, and… more
    Catholic Health Services (07/09/25)
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  • Dental Network Service Representative

    Highmark Health (Albany, NY)
    …Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active ... on leads in an established time frame, while incorporating a sound business plan strategy to support and execute recruitment efforts that include existing and… more
    Highmark Health (07/31/25)
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  • Program Manager For Support Services

    Apicha Community Health Center (Jackson Heights, NY)
    Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental ... food and nutrition, and support groups. Job Responsibilities: + Ensure overall compliance of programs assigned under the department of support services at Queens… more
    Apicha Community Health Center (08/02/25)
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