- Guthrie (Cortland, NY)
- …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the ... / Director informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts on behalf of Clinical Manager / Director in his/her… more
- Molina Healthcare (Syracuse, NY)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Savers | Value Village (Bohemia, NY)
- …are in place. * Communicates safety and loss prevention issues to Operations Manager Warehouse. Required Knowledge , Skills and Abilities: * Mathematical skills. ... an international thrift retailer, is looking to fill Retail Manager position(s). This multi-faceted role supports either the service...peace of mind + Programs to stop smoking, diabetes management coaching, and on demand care options. + A… more
- Molina Healthcare (Buffalo, NY)
- …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) ... modification of payment decisions. + Serves as a clinical resource for utilization management , CMOs, physicians and member/provider inquiries/appeals. + Provides… more
- MTA (New York, NY)
- …$108,573 Level 5 $86,703 - $123,862 DEPT/DIV : Corporate IT Products SUPERVISOR : Manager , Product Development LOCATION : 2 Broadway, New York, NY 10004 HOURS OF ... in compliance with MTA procedures. Critical Skills: * Strong Knowledge of MS Power Apps Development - Model Driven...debug routines and programs for efficient processing and maximum utilization of computer systems. + Develop and maintain technical… more
- Mohawk Valley Health System (Utica, NY)
- …staffing utilization reports, and dialogues with charge nurse, nurse manager and/or administrator. + Collects information and data related to workflow charts, ... graphs and narrative information using departmental data. + Reviews performance and management indicator reports. + Maintains staff utilization policies and… more
- Gas Field Specialists (Horseheads, NY)
- …and Quality Assurance (QA) process audits. * Assists with the sustainment and full utilization of the project QMS (quality management system). * Conducts of ... with corporate/region when transitioning quality applications. * Works closely with project management team members and may assist QA/QC Manager or Project… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** With general oversight from the Director, the SHIP Manager conducts and oversees a variety of financial activities, including ... mitigation for the $18 million Student Health Insurance Plan (SHIP). The Manager develops and evaluates financial plans and policies; establishes and maintains… more
- Equitable (New York, NY)
- …Officer-a single, integrated leadership role encompassing strategic investment management , asset-liability oversight, and manager accountability. Reporting ... and deliver rigorous attribution analysis with >90% explained variance. Ensure affiliated manager delivers benchmark targets with prudent risk management . +… more
- Elevance Health (New York, NY)
- …and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in work groups ... **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually… more
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