• Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …assigned or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance or Healthcare related field and an RN license or + Bachelor's Degree in ... **Substitutions** + None **Preferred** + Master's Degree in Business, Finance, or Healthcare related field (can be clinical) **EXPERIENCE** **Minimum** + 5 years in… more
    Highmark Health (09/01/25)
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  • Medical Director, Post-Acute Care Utilization…

    MVP Health Care (Tarrytown, NY)
    …Care UM team + Assisting and training other medical directors at MVP Healthcare in post-acute care UM This includes guiding them in the proper adjudication ... various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll… more
    MVP Health Care (09/01/25)
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  • Ld. Dir, PS Ddat Financial Technology Solutions:…

    CVS Health (Albany, NY)
    …of experience leading and developing teams + 3+ years of experience in healthcare and/or insurance + Experience working in an agile environment and leading ... least 25% per year **Preferred Qualifications** + Pharmacy Benefits Management or healthcare experience + BI or Analytics Product Management experience + High… more
    CVS Health (08/31/25)
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  • Registered Nurse - Maternity, Per Diem

    Nuvance Health (Rhinebeck, NY)
    …patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to ... patients. The Registered Nurse assesses the patienti? 1/2s needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership… more
    Nuvance Health (08/31/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Albany, NY)
    …We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management ... clinical reviews via phone and electronic documentation, collaborating with healthcare providers to gather necessary information. + Use established guidelines… more
    CVS Health (08/31/25)
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  • Process Solutions Consultant

    R1 RCM (New York, NY)
    …to travel locally and throughout US 50% of time + Experience with a Healthcare Platform is highly desirable, not required (EHR,RCM, ERP) For this US-based position, ... is eligible to participate in our annual bonus plan at a target of 10.00% The healthcare system is always evolving - and it's up to us to use our shared expertise… more
    R1 RCM (08/31/25)
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  • Inbound Outbound Queue Associate - Fully Remote

    CVS Health (Albany, NY)
    …customer service is a must. + Promotes/ supports quality effectiveness of healthcare services. **Required Qualifications** + 1+ years of call center experience. + ... 1+ years of medical/ healthcare experience. + 1+ years of Data entry experience. **Preferred Qualifications** + At least 2-4 years' experience as an as a medical… more
    CVS Health (08/31/25)
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  • Director, US Pricing & Access Analytics

    Grifols Shared Services North America, Inc (Manhattan, NY)
    Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and… more
    Grifols Shared Services North America, Inc (08/31/25)
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  • Health Benefit Rep - Niagara

    Centene Corporation (Getzville, NY)
    …Care's care management approach. **Highly Preferred** Sales experience** Healthcare Navigator experience** Healthcare Facilitator experience** **Bilingual ... - English/Spanish nice to have** Must reside in Niagara County, NY** **Field Based Position for Niagara County, NY** **80% Travel and 20% Office/Hub** **Work Schedule is Monday - Friday with occasional evenings and weekends as needed.**… more
    Centene Corporation (08/31/25)
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  • Pharmacy Technician / Pharm Tech Apprenticeship

    Walgreens (Glens Falls, NY)
    …as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers. + Assists Pharmacy Manager and Staff ... and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments. **Job ID:** 1667835BR… more
    Walgreens (08/31/25)
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