- NYS Housing Trust Fund Corporation (New York, NY)
- …mission is far reaching, encompassing single and multifamily housing finance, home improvement, rent regulation, housing subsidies, and community development. We ... competitive pay and a comprehensive benefits package, including paid leave, health , dental, vision, retirement, and family-friendly policies. Job Summary Under… 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** The Primary Care Organization (PCO), is looking...quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better… more
- Evolent (Albany, NY)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a… more
- Humana (Albany, NY)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
- Molina Healthcare (Syracuse, NY)
- …as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health , pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
- University of Rochester (Rochester, NY)
- …PURPOSE The Space Planner is responsible for documenting and analyzing utilization of URMedicine's space resources, developing space programs, designing concept ... test fits, concept plans, block diagrams, furniture layouts, and conducts utilization and scenario planning. Recommends alternative solutions and space allocations… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Humana's Clinical Analytics Team is seeking a **Research Scientist (Remote).** Healthcare is ... team at Humana innovates at the intersection of enterprise value and member health by using advanced analytics and strategic insights to drive informed decision… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** We are seeking an experienced and strategic leader to join our Stars analytics leadership team ... opportunities. + Showcase analytics capabilities and product portfolio driving higher utilization and more effective partner engagement. + Strategy & Innovation +… more
- Molina Healthcare (Manhattan, NY)
- …EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health , community health , or public health setting ... coordination to reduce hospital readmission rates and emergency room utilization + Perform face-to-face in-person visits in a variety...+ Previous experience in home health as a licensed clinician, especially in management of… more
- Sanofi Group (New York, NY)
- …environment for specialty biologics has proven to be highly challenging for Health Care Providers (HCPs), Hemophilia Treatment Centers (HTCs) and Patients. Payer ... medical and pharmacy Utilization Management (UM) criteria create process delays for patients...on patient access to products self-infused in the patient home . + Must achieve and maintain compliance with all… more