- Evolent (Albany, NY)
- …nursing informatics. + Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, ... visualization and reporting. + Knowledge of emerging technology trends and advancements in healthcare data management . + Familiarity with JIRA and Confluence for… more
- Molina Healthcare (Yonkers, NY)
- …empowerment + Staffs, organizes, monitors and maintains an effective, consistent Vendor Management function + Supervise Molina Healthcare vendor management ... education is acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare (payer experience), Vendor Management , Data Analytics, Contract Terms… more
- City of New York (New York, NY)
- …SKILLS: - MPH or other advanced degree with emphasis on health policy, healthcare management , health disparities, research - Experience in qualitative research ... Agency's Chief Medical Officer. The Bureau of Equitable Health Services (BEHS) is the healthcare systems bureau...Equity/Birthing Journey Mapping. o Maternal Home Collaborative Model o Healthcare Segregation o Local Law 78 Management … more
- City of New York (New York, NY)
- …SKILLS: - MPH or other advanced degree with emphasis on health policy, healthcare management , health disparities. - Experience in qualitative research or related ... Agency's Chief Medical Officer. The Bureau of Equitable Health Services is the healthcare systems bureau of...DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: - Management of recruitment for qualitative studies, including the development… more
- Molina Healthcare (Buffalo, NY)
- …improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members,...the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in… more
- Molina Healthcare (Yonkers, NY)
- …**Required Education:** Bachelor's Degree in Mathematics, Economics, Computer Science, Healthcare Management , or related field. **Required Experience, Knowledge, ... Experience with building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations (utilization management ,… more
- Bassett Healthcare (Cooperstown, NY)
- …of Pharmacy/PH.D. - Doctor level degree, preferred Master's in Business Administration/ Healthcare Management , preferred Experience: Minimum 5 years experience as ... optimizing pharmacy services to meet the needs of patients and healthcare providers. This leadership role requires a strategic thinker with strong clinical… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare … more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... regulatory requirements relative to clinical operations. + Responsible for oversight of healthcare services related to delegation oversight monitoring + Oversees… more
- Molina Healthcare (Yonkers, NY)
- …+ Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
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