- Excellus BlueCross BlueShield (Rochester, NY)
- …administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member Care Management. This position acts ... specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral… more
- Immigration and Customs Enforcement (Batavia, NY)
- …advisory tasks related to such functions as developing and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy ... Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical… more
- Healthfirst (NY)
- …+ Partner with departments across Healthfirst, including Medical Management, Population Health , Clinical Quality , Delivery Systems Engagement (DSE), and ... mentor, and support the HARP Care Management team, ensuring high clinical quality , member satisfaction, and employee engagement + Drive innovation in integrated care… more
- Albany Medical Center (Albany, NY)
- …doctors. Albany Med works with dozens of community partners to improve the region's health and quality of life. Albany Med is affiliated with Columbia Memorial ... safety education. + Analyzes and evaluates professional services rendered to improve quality of patient care and assure effective and efficient use of staff… more
- Bassett Healthcare (Oneonta, NY)
- …We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do ... acts as a resource for the Medicare patient population, primary care, population health and quality teams. Provides coordination of outreach and scheduling… more
- Centene Corporation (New York, NY)
- …implementation of recommendations to providers that would improve utilization and health care quality . + Review claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Outreach Development Corporation (Richmond Hill, NY)
- …helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality , life-changing treatment, training, ... a life of unlimited potential by developing and delivering the highest quality evidence-based behavioral health services and training. For more information,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops ... including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support… more
- Mount Sinai Health System (New York, NY)
- …social service needs on the Lower East Side. The Mount Sinai Behavioral Health Center offers opportunities for leadership, quality development, teaching, and ... expanding clinical service at the new Mount Sinai Behavioral Health Center on the Lower East Side!** The Mount...the age of the patients served + Participates in Quality and Safety initiatives of the department These duties… more
- Mount Sinai Health System (New York, NY)
- …role is to ensure that complex performance improvement projects and programs across the health system are executed in a high quality , timely, and effective ... **Job Description** **Associate Director, Operations Planning - Health Systems Operations -Full-Time- Days (Hybrid)** The purpose of this Associate Director of … more