- WMCHealth (Valhalla, NY)
- …Education: + Bachelor's degree in Business Administration, Computer Science, Information Systems , Engineering, Healthcare Management , or a related field, ... of 2 years of experience in project coordination and/or technical project management , required + Experience in healthcare , technology, or consulting… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …UM and CM). Incumbent is required to know multiple functional areas and supporting systems . + Expert in Utilization Management and ability to handle complex ... and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …MSK; patient consultation and/or care on a regular basis + 5+ years of information systems experience, with significant experience in a large and highly complex, ... data security measures **Incident management ** + Participate in incident management , especially those involving clinical systems that impact care delivery… more
- Cardinal Health (Albany, NY)
- …java application servers, integration and information systems , ERP systems , business rules engines, business process management and .et development ... to application platform environments; documents and manages SOPs for software and information platform systems . + Interfaces with business solution teams and… more
- Kaleida Health (Buffalo, NY)
- …Systems and MS Office products. 2 years of experience is required in Healthcare Finance with Information Systems .** Working Conditions **Essential:** * ... **Contract Management Specialist** **Location:** Larkin Bldg @ Exchange Street...payers.** **Education And Credentials** Associate of Science degree in Healthcare , Finance or similar is required. Bachelor of Science… more
- Mount Sinai Health System (New York, NY)
- …a lead role in gathering and preparing data from business and organizational systems to assist management in operating more efficiently and effectively. ... gathering, preparing, and reconciling basic to moderately complex organizational data and information . Provides accurate information to management for… more
- CVS Health (NY)
- …solve our customer's needs. The successful candidate will be responsible for the management of our existing product portfolio, development of new products to support ... our growth agenda, and identification of new healthcare programs and services to complement our core medical...benefits, plan design, product delivery while leveraging strong project management skills to execute on our strategy. **What you… more
- Capgemini (New York, NY)
- …technical specifications and user stories. Design interaction layers for portals, case management , and integrations with financial systems and S2P applications. ... third-party systems such as ERP, ICertis, EDW, and risk management platforms 6. Develop and maintain architecture documentation, including solution blueprints… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an assigned ... NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Principle...payor within the patient population; b. Provides the clinical information requested by the managed care companies as part… more
- Humana (Albany, NY)
- …Prior experience in a metric driven environment + Prior experience in the healthcare industry **Additional Information ** + **Remote position with possibility of ... first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and… more