• Director, Physician Leadership - Medical Directors…

    Humana (Albany, NY)
    …of medical directors performing Medicare utilization management processes and be the liaison for the Medicare Market Provider Experience Clinician. This position ... million Medicare members. You will also facilitate the delivery of high quality , appropriate, and consistent clinical decision making to ensure appropriate outcomes… more
    Humana (08/21/25)
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  • Assistant Commissioner

    City of New York (New York, NY)
    …- Apprise DPS leadership on emerging and operational issues, and technical assistance for the provider agencies - Act as a liaison between ACS and its contracted ... collaboration with major partners to address urgent or emerging provider and family needs, city or state mandates, and...partnering with contracted providers to ensure services are high quality and socially just. OPMS employs an approach guided… more
    City of New York (08/08/25)
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  • Case Mgr, RN- Case Management

    Northwell Health (Staten Island, NY)
    **Req Number** 163967 Job Description Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout ... speech and swallow. + * Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in...as a resource to the health care team regarding quality , utilization of clinical resources, payer, and reimbursement issues.… more
    Northwell Health (08/21/25)
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  • Regional Director Gastroenterology & Hepatology

    University of Rochester (Rochester, NY)
    …as required. + Implement clinical protocols and guidelines to ensure consistency and quality of care across the region. + Provide clinical oversight to ... for UR Gastroenterology & Hepatology will serve as the liaison between regional affiliate entities and the Chief of...GI Division Steering committee as needed . Responsible for provider staffing models and participates in hiring . Collaboration… more
    University of Rochester (08/07/25)
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  • Senior LTSS Assessor RN

    Centene Corporation (Bronx, NY)
    …for complex/high acuity populations with primary medical/physical health needs to promote quality , cost effective care. Develops a personalized care plan / service ... their families/caregivers on services and benefit options available to receive appropriate high- quality care. + Evaluates the service needs of the most complex or… more
    Centene Corporation (08/21/25)
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  • Digital Product Portfolio Head

    ThermoFisher Scientific (Grand Island, NY)
    …PPD (TM) clinical research business of Thermo Fisher Scientific is a leading provider of global CRO solutions. We provide comprehensive drug development, ... and continuous improvement. **Stakeholder & Customer Engagement** + Serve as a liaison to study teams, investigators, sponsors, and regulatory/ quality partners;… more
    ThermoFisher Scientific (08/17/25)
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  • Representative II, Customer Care Order Placement

    Cardinal Health (Albany, NY)
    …medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. **_Job Summary_** Responsible ... orders or reorders of medical supplies. Agents will act as a liaison , problem-solving order issues, researching accounts and providing resolutions in a high-volume… more
    Cardinal Health (08/19/25)
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  • Program Specialist, Treatment, Rehabilitation,…

    City of New York (New York, NY)
    …monitored through data collection and analysis, ongoing site visits and program provider meetings. The Office also provides technical assistance to support the ... programs delivery of quality services to service recipients and works closely and...services with other public and voluntary agencies. - Maintains liaison with personnel from State Regulatory bodies and from… more
    City of New York (08/14/25)
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  • Medical Office Assistant

    Catholic Health Services (West Islip, NY)
    …medical care to our patients. We are looking for a Medical Office Assistant who will provide the highest quality of patient care by being an integral part of the ... focused on evidence based practice, continual learning and exceptional quality of care. We are seeking a detail-oriented and...clinical team. The ideal candidate will provide administrative and clinical support to ensure the smooth… more
    Catholic Health Services (07/24/25)
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  • HEDIS Medical Record Retrieval Specialist…

    Excellus BlueCross BlueShield (Utica, NY)
    …retrieves medical records, via remote EMR access, fax and/or on-site at the provider /facility locations. * Travels from home to provider offices or facilities ... records, if required. * Face-to-face interaction with medical personnel during onsite provider office and facility visit. * Communication with medical personnel to… more
    Excellus BlueCross BlueShield (08/25/25)
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