- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management ** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... Certification, Association** Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health… more
- Molina Healthcare (Albany, 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 (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. - 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 (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
- Molina Healthcare (Albany, NY)
- …QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Math, Healthcare Management , Computer Science, Information Systems, or related ... SQL for retrieving specified information from data sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality… 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 (Albany, 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
- TD Bank (New York, NY)
- …you more specific details for this role. **Line of Business:** Product Management **Job Description:** The Senior Product Manager, Healthcare is responsible ... market vertical, including solutions focused on revenue cycle management and payments. The Senior Product Manager, Healthcare...The Senior Product Manager oversees the end to end management of assigned products, services and programs… more