- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... experience in prior authorization, claims, and/or utilization management in healthcare, health insurance, evaluating medical necessity and appropriateness of care + … more
- City of New York (New York, NY)
- …Sye-Eun Ahn, Director of the Office of Equal Employment Opportunity, at ###@ health .nyc.gov or ###. CLERICAL ASSOCIATE - 10251 Qualifications Qualification ... Job Description Clerical Associate IV-10251 Open to candidates who are permanent...City operate in compliance with the New York City Health Code and New York State Social Service regulations… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses ... for the care and wellbeing of members The Care Manager, Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who functions as an… more
- CenterWell (Albany, NY)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **Overview** The Program Lead will be responsible...and Leadership Workshops as needed. **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Albany, NY)
- …Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00 PM Eastern **Travel:** None ... part of our caring community and help us put health first** The UM Strategy team is a multi-disciplinary...that is best for your schedule. **Remote Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across ... supporting AI or data science initiatives and programs. This associate will need to be delivery-focused, willing to wear...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- CenterWell (Albany, NY)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** We are seeking a skilled and collaborative...collaborative Digital Product Owner to lead the delivery of associate -facing contact center technologies that support Pharmacy and Medicare… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support ... closely with CenterWell leadership and senior leaders across our Primary Care, Home , and Pharmacy businesses to advance delivery of personalized and integrated care… more