• Supervisor, Care Review (RN) Utilization…

    Molina Healthcare (Albany, NY)
    …guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM), Certified Professional in Health ... prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with… more
    Molina Healthcare (08/20/25)
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  • RN Case Management - Acute Care, Samaritan…

    Trinity Health (Troy, NY)
    …year of experience in case management or utilization managementCase Management certification (CCM) or Certified Professional in Healthcare Management ... looking for a position in RN (Registered Nurse) Case Management in a dynamic hospital, this could be your...guidelinesResponsibilities:Engage the patient and care team in the joint management of key patient outcomes such as management… more
    Trinity Health (07/02/25)
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  • Buyer Corporate Materials Management…

    Catholic Health (Buffalo, NY)
    … field preferred + Bachelors Degree in Business or Purchasing/Materials Management field preferred + Certified Purchasing Manager (CPM) certification ... preferred EXPERIENCE + Purchasing/Materials Management experience preferred + Healthcare experience preferred KNOWLEDGE, SKILL AND ABILITY + Good analytical skills +… more
    Catholic Health (09/02/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    … Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare ... Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and reports… more
    Molina Healthcare (08/15/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    … Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional in Healthcare ... payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. + Provides… more
    Molina Healthcare (09/06/25)
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  • Manager, Tax Legal Business Associate - Tax…

    Deloitte (Rochester, NY)
    …Agent + PMP (Project Management Certification) + Contract & Commercial Management (CCM) Certification Program + Certified Financial Analyst (CFA) + PMI ... Agile Certified Practitioner (Project Management Institute-ACP) + Certified Change Management Professional (CCMP) + Certified Business Analysis… more
    Deloitte (08/26/25)
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  • Tax Senior Consultant Legal Managed Services

    Deloitte (New York, NY)
    …Agent + PMP (Project Management Certification) + Contract & Commercial Management (CCM) Certification Program + Certified Financial Analyst (CFA) + PMI ... Agile Certified Practitioner (Project Management Institute-ACP) + Certified Change Management Professional (CCMP) + Certified Business Analysis… more
    Deloitte (08/26/25)
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  • Tax Senior Consultant- SAP Global Trade Services…

    Deloitte (New York, NY)
    …Expert (MCSE) + Professional Scrum Product Owner (PSCPO) - SCRUM.org and Project Management Professional (PMP + CBAP - Certified Business Analysis Professional + ... Program Management Professional (PgMP) + Certified Scrum Product Owner (CSPO) + Professional Scrum Developer...Web Applications + MCSD: SharePoint + MCSD: Application Lifecycle Management Solutions Developer + Certified Secure Software… more
    Deloitte (08/23/25)
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  • SAP Tax Manager, Global Trade Services (GTS)

    Deloitte (New York, NY)
    …Expert (MCSE) + Professional Scrum Product Owner (PSCPO) - SCRUM.org and Project Management Professional (PMP + CBAP - Certified Business Analysis Professional + ... Program Management Professional (PgMP) + Certified Scrum Product Owner (CSPO) + Professional Scrum Developer...Web Applications + MCSD: SharePoint + MCSD: Application Lifecycle Management Solutions Developer + Certified Secure Software… more
    Deloitte (08/22/25)
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  • Legal Business Associate - Senior

    Deloitte (New York, NY)
    …Agent + PMP (Project Management Certification) + Contract & Commercial Management (CCM) Certification Program + Certified Financial Analyst (CFA) + PMI ... Agile Certified Practitioner (Project Management Institute-ACP) + Certified Change Management Professional (CCMP) + Certified Business Analysis… more
    Deloitte (06/24/25)
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