• Field Medical Director, Oncology

    Evolent (Albany, NY)
    …Proficiency . Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
    Evolent (05/20/25)
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  • Field Medical Director , Radiology (Urology)

    Evolent (Albany, NY)
    …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
    Evolent (05/03/25)
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  • Site Physician

    CenterLight Health System (Ridgewood, NY)
    …reports, family, and team meetings. + Develops and participates in the Utilization Review of medical services provided by CLHC/DTC. + Develops and supervises the ... treats patients in a variety of settings, ie, Day Treatment Center (DTC) and patient's home . + Serves as a resource for all clinical staff practicing in the DTC… more
    CenterLight Health System (04/26/25)
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  • Medical Director Specialty Medical Services…

    Molina Healthcare (New York, NY)
    … Medicare . **PREFERRED EDUCATION:** Master's in Business Administration, Public Health , Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more
    Molina Healthcare (04/11/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home care, ... Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and...+ Adheres to the New York State Department of Health and Centers for Medicare and Medicaid… more
    Ellis Medicine (03/14/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (North Tonawanda, NY)
    …all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients ... manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** PATIENT CARE: + Assist other health care members in providing patient specific detailed education regarding… more
    Fresenius Medical Center (05/19/25)
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  • Senior Software Engineer- COBOL coding

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** **Requires a strong foundation in COBOL mainframe development ** The Claims Adjudication ... that enhance functionality, efficiency, and user satisfaction. + Design and review software solutions that meet business requirements, ensuring a smooth transition… more
    Humana (05/16/25)
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  • Bilingual Senior Telesales Agent (Tagalog)

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Senior Telesales Agent conducts selling activities related to inbound calls inquiring ... about individual health plan products. The Senior Telesales Agent work assignments...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
    Humana (05/13/25)
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  • Sr Clinical Pharmacist - Program & Automation…

    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 ... **Become a part of our caring community and help us put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist Program &… more
    CenterWell (05/29/25)
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  • Senior Clinical Pharmacist

    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** The Clinical Drug Evaluation and Policy Strategies...field** **Less than 10% travel requirement including visit(s) to home office in Louisville, KY** **BPS Board Certification (any… more
    CenterWell (05/29/25)
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