• Pharmacy Benefits Program Director; HSO…

    Mount Sinai Health System (New York, NY)
    …pharmacy affordability to Mount Sinai Health System. + Responsible for the development of complex utilization management strategies and drug utilization review ... recognition and development . + Any other tasks as assigned by management . **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System… more
    Mount Sinai Health System (04/28/25)
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  • Utilization Management Reviewer I/II/III…

    Excellus BlueCross BlueShield (Utica, NY)
    …the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
    Excellus BlueCross BlueShield (05/02/25)
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  • Program Director

    Project Renewal, Inc. (New York, NY)
    …clean and conform to established standards. + Manages the facility; as well as program development and implementation to assure the objectives of the program ... federal, state and city audits as well as any claims or lawsuits filed by client and staff. +...objectives while developing their individual and group skills. + Program Evaluation and Performance Management : Capacity to… more
    Project Renewal, Inc. (03/13/25)
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  • Compliance Analyst, 340B Program

    WMCHealth (Valhalla, NY)
    development , system optimization, and cross-functional projects that enhance program integrity and financial performance. About Us: WMC Advanced Physician ... Compliance Analyst, 340B Program Company: WMC Advanced Physician Services PC City/State:...WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/ Management Department: Pharmacy Union: No Position: Full Time Hours:… more
    WMCHealth (04/26/25)
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  • Manager (RN) Quality Management

    Northwell Health (Staten Island, NY)
    …care team regarding development and implementation of the quality management program ; serves as a consultant to the multidisciplinary Department/Service ... execution of director-guided quality improvement initiatives, focusing on project management (timelines, completion, sustainment) and team development more
    Northwell Health (05/09/25)
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  • Risk Management Analyst - St Peters Health…

    Trinity Health (Albany, NY)
    …& reporting. Supports the education components of the facility's risk management program . Promotes the organizational patient safety initiatives. **LOSS ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health… more
    Trinity Health (05/01/25)
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  • Deputy Head of D&O Product, Financial Lines

    AIG (New York, NY)
    …a collaborative role where you will engage with AIG's industry leading underwriting, claims , and legal teams. This role will be responsible for working alongside the ... Head of D&O Product and the larger AIG product team in the development and dissemination of education, thought leadership, policy forms and enhancements for the… more
    AIG (04/11/25)
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  • Sr Program Director Construction…

    New York Power Authority (Holtsville, NY)
    Sr Program Director Construction Engineering Location: White Plains, USGilboa, USHoltsville, USLewiston, NY, US, 14092Astoria, USMassena, USMassena, US **Summary** ... and standards; as applicable. Provide direct oversight of contractors and onsite management of construction projects (for projects at NYPA sites only). A… more
    New York Power Authority (04/11/25)
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  • Revenue Cycle Analyst - Medical Group - Albany, NY…

    Trinity Health (Albany, NY)
    …career opportunities and quality of life converge + Advancement: Strong orientation program , generous tuition allowance and career development + Office Hours: ... required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
    Trinity Health (05/08/25)
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  • Deputy Director, Single Issue Review

    City of New York (New York, NY)
    …recruitment, position classification, personnel relations, employee benefits, staff development , employment program planning/administration, labor market ... SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and...research, economic planning, social services program planning/evaluation, or fiscal management ; or in… more
    City of New York (02/12/25)
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