- Excellus BlueCross BlueShield (Buffalo, NY)
- …consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. ... and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical… more
- IQVIA (New York, NY)
- **Manager, Medical Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to ... journey, retrospective or prospective study design and execution, thought leadership network identification, and more. **Primary responsibilities:** + Lead teams in… more
- Paramount (New York, NY)
- …This role will assist in enhancing operational efficiency to support the Network News mission. **Key Responsibilities:** + Determine costing allocations and review ... confirm proper account and show coding, and ensure invoice submission via Kofax to Network Accounting for payment. + Address service or cost issues with vendors. +… more
- Celestica (New York, NY)
- …not limited to, the following: + Participates in the development of an effective network design and strategy + Provide technical support and perform maintenance ... **Direct/Indirect Indicator:** Indirect **Summary** The Specialist, IT Infrastructure - Network Support will install, maintain, upgrade, and continuously improve the… more
- FirstLight Fiber (Albany, NY)
- …Systems Engineer Job Description FirstLight is a premier Telecom and Cloud Provider delivering advanced technology solutions and data center services throughout the ... journald, and related service issues * Tune kernel parameters (sysctl, hugepages, network buffers) * Create and maintain high-quality documentation * Contribute to… more
- City of New York (New York, NY)
- …DV shelter providers and to guarantee survivor-centered, trauma informed care throughout the provider network which will oversee daily operations with a primary ... non-residential services to survivors in the community through a network of contracted providers. In additions DVS administers the...focus on provider compliance with relevant laws and regulations; assisting with… more
- CVS Health (Albany, NY)
- …areas as assigned. Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or STARS/HEDIS ... (SAIs) in collaboration with Medicare segment leadership, the market medical teams, Network Management teams and other related teams. You'll make an impact by:… more
- Abbott House (Bronx, NY)
- …case agreement when a child is placed outside of the MMCP's service area or provider network Interact with clinical and billing staff Refer children for needed ... services and assist in provider selection Coordinate with health care providers, including school...records + Arrange Single Case Agreements with out of network placements + Billing and Clinical Staff interaction +… more
- Intertek (Cortland, NY)
- Client Order Specialist - Cortland, NY Intertek, a leading provider of ATIC (Assurance, Testing, Inspection, and Certification) Services, is looking for a Client ... Inspection and Certification of products: we are a Total Quality Assurance Provider to industries worldwide. Intertek is continually innovating and evolving to… more
- WMCHealth (Valhalla, NY)
- Inventory Manager Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Distribution- WMC Health Union: No ... Inventory Manager is responsible for managing WMCHealth's warehouse(s) and distribution network , including regional inventory locations to ensure the correct stock… more