• Manager Utilization Management

    Elevance Health (Latham, NY)
    …Concentration preferred. **Preferred skills, qualifications and experiences:** + Certified Case Manager Certification preferred + Utilization management ... medical complexity ensuring the delivery of essential services that address the total healthcare needs of members. **How you'll make a difference:** + Manages and… more
    Elevance Health (08/13/25)
    - Related Jobs
  • Pharm Tech I

    Bassett Healthcare (Oneonta, NY)
    …that the department continues to be an efficient member of the healthcare team Willingly assists Pharmacists as requested. Works cooperatively and within ... on contract, chooses an equivalent alternative if possible. Consults with manager and staff pharmacists regarding 340b ordering. Outpatient: Orders OTC medications… more
    Bassett Healthcare (08/01/25)
    - Related Jobs
  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards ... to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required,… more
    Excellus BlueCross BlueShield (08/23/25)
    - Related Jobs
  • Client Coding Project Manager - Full Time…

    Datavant (Albany, NY)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (07/26/25)
    - Related Jobs
  • Territory Manager , Structural Heart, TAVI…

    Abbott (New York, NY)
    Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...regional demands. **What You'll Work On** The TAVI Territory Manager is responsible for ensuring that the assigned territory… more
    Abbott (08/15/25)
    - Related Jobs
  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
    Humana (08/22/25)
    - Related Jobs
  • Care Manager

    LIFEPlan CCO NY (Ithaca, NY)
    Care Manager Job Details Job Location Ithaca - Ithaca, NY Position Type Full Time Education Level 4 Year Degree Salary Range $25.75 - $27.81 Hourly Travel Percentage ... Up to 50% Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management,… more
    LIFEPlan CCO NY (08/08/25)
    - Related Jobs
  • Senior Manager Product Strategy

    CVS Health (Albany, NY)
    …heart, each and every day. Position Summary We are seeking a Senior Manager Product Strategy for our Weight Management product within our Care Management Solutions ... team. As a Senior Manager Product Strategy for Weight Management, you will be...but primarily focused on product financial performance evaluation, business case development to assess new product opportunities, and quantitative… more
    CVS Health (07/30/25)
    - Related Jobs
  • Live/Insights Customer Success Manager

    LiveRamp (New York, NY)
    …innovators, from iconic consumer brands and tech giants to banks, retailers, and healthcare leaders turn to LiveRamp to build enduring brand and business value by ... to ensure client needs are being met.** **The Live/Insights Customer Success Manager should be client obsessed, be highly organized, be effective in ambiguous… more
    LiveRamp (08/07/25)
    - Related Jobs
  • Senior Product Manager , AI / Data Science

    Evolent (Albany, NY)
    …impact. **Analytical Skills:** Experience with data-driven decision-making, including business case development and opportunity sizing. ** Healthcare Industry ... **Job Summary** We are seeking a highly motivated **AI/Data Science Product Manager ** to lead and manage AI initiatives across our organization. This individual… more
    Evolent (07/07/25)
    - Related Jobs