- Molina Healthcare (Albany, NY)
- …provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management , Network, and other departments to enable critical decision ... related to medical cost reduction initiatives and budgeting same + Support Medical Management by assisting with Return on Investment (ROI) analyses for… more
- CDPHP (Latham, NY)
- …Health and Chief Medical Officer with the implementation of the Plan's Medical Management , Quality Improvement, and Resource Management initiatives in ... family of companies include subsidiaries Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX… more
- Catholic Health Services (West Islip, NY)
- …satisfaction studies. Making best efforts to keep current with developments in pediatrics, medical management and related areas through CME programs, medical ... West Islip, NY * Full Time Good Samaritan Hospital Medical Center West Islip, New York The Department of...and additional expansion planned. Catholic Health children's program provides services for the smallest patients through our Level III… more
- Healthfirst (NY)
- …and quality data + Partner with departments across Healthfirst, including Medical Management , Population Health, Clinical Quality, Delivery Systems Engagement ... of that experience being in managed care + Progressive leadership experience in medical and behavioral health care management including work experience in a… more
- CVS Health (New York, NY)
- …Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the ... continuum of care. Supports the Medical Management staff ensuring timely and consistent...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- Catholic Health (Buffalo, NY)
- …10-6pm Summary: The social worker, as an active member of the Care Management and interdisciplinary care team provides comprehensive social work and discharge ... services to patients and families in the hospital setting....as a social work intern in an acute hospital, medical rehab unit, primary care setting or sub-acute unit… more
- City of New York (New York, NY)
- …Paper Physicals). - Develop relationships with community health providers in order to optimize medical management of students with health issues. - Attend to the ... This is achieved through a combination of public health initiatives, case management , education, and direct clinical services . For additional information… more
- Molina Healthcare (NY)
- …for strategic analysis, profitability, financial analysis, utilization patterns and medical management . + Interfaces and maintains positive interactions ... reporting service level benchmarks for EIM team. + Represents Medical Economics department in cross-departmental and operational meetings. + Serves as liaison… more
- Elevance Health (New York, NY)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit** **... medical appropriate information in order to make medical necessity determinations for services requested. +… more
- City of New York (New York, NY)
- …paper physicals - Develop relationships with community health providers in order to optimize medical management of students with health issues - Attend to the ... This is achieved through a combination of public health initiatives, case management , education, and direct clinical services . School Physicians have served… more