- Excellus BlueCross BlueShield (Buffalo, NY)
- …of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers. + ... for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the… more
- University of Rochester (Rochester, NY)
- …develops the strategy for new Ambulatory Pharmacy program development and implementation across the system. **ESSENTIAL FUNCTIONS** **Quality and Safety** + Assures ... at all UR Medicine outpatient pharmacies, including the safe and effective implementation and utilization of technology and automation as appropriate. + Develops and… more
- SMBC (New York, NY)
- …diverse client base to local markets and the organization's extensive global network . The Group's operating companies in the Americas include Sumitomo Mitsui Banking ... status updates, find efficiencies, respond to ad-hoc requests and support the implementation of compliance program enhancements with respect to each of the… more
- Seton Education Partners (Bronx, NY)
- …Education Compliance and Billing Analyst for the Brilla Public Charter Schools Network . This position reports directly to the Elementary School Director of Student ... take these remarkable achievements to scale by managing a network of schools and programs that ensure that thousands...claims to the NYC DOE by verifying the accurate implementation of IEP services at elementary campuses + Monitor… more
- WMCHealth (Valhalla, NY)
- … implementation and evaluation of Westchester Medical Center Health Network Compliance Program, specifically the WMC Advanced Physician Services, by monitoring ... compliance issues to Administrators, Physicians and all levels of WMC Health Network staff. Responsibilities: + Participates with leadership in the development and … more
- Win (Women In Need) (Queens, NY)
- …assisting with program management, strategic program planning, efficiency, program implementation and accountability for all children's programs. This position ... childhood development, program management, program evaluation, community outreach, curriculum implementation , program capacity building, data collection and program budgeting… more
- New York State Civil Service (Albany, NY)
- …health insurance claims and encounter information and the State Health Information Network for New York (SHIN-NY) that supports health information exchange among ... , the SPARCS, and other miscellaneous systems; the matching of datasets, implementation and maintenance of reference data, grouper software, and geocoding data in… more
- MTA (New York, NY)
- …Opening: The Metropolitan Transportation Authority is North America's largest transportation network , serving a population of 15.3 million people across a ... New York City, Long Island, southeastern New York State, and Connecticut. The MTA network comprises the nation's largest bus fleet and more subway and commuter rail… more
- Amazon (New York, NY)
- …and innovative solutions, you will be responsible for leading the implementation process, ensuring adherence to best practices, optimizing performance, and managing ... AWS Cloud. We work together with customer teams and the AWS Partner Network (APN) to execute enterprise cloud computing initiatives. Our team provides assistance… more
- Deloitte (New York, NY)
- …core. This can enable advanced finance capabilities and a resilient supply chain network while reducing risk. Work You'll Do As an Oracle Specialist Leader you ... business case objectives are realized. As a Diamond-level member of the Oracle Partner Network , Deloitte needs thought leaders like yourself to help pave the way for… more