- Eaton Corporation (Orchard Park, NY)
- …of expected results. * Estimate labor hours and duration to complete modeling tasks and peer review those provided by global team or other MSD engineers. * ... well as using M&S to compliment test plans and program level risk mitigation. Other critical skills include technical...include developing initial analysis plans, support with tools, and peer review of results. * Serve as… more
- CVS Health (Albany, NY)
- …providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews ... and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This...Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level… more
- STG International (Auburn, NY)
- …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... clinical methods and procedures and suggest improvements. + Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
- Molina Healthcare (New York, NY)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED… more
- Molina Healthcare (Syracuse, NY)
- …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience ... risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PR**… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. + Engages in formal and informal peer and institutional review processes. + Collaborates with interdisciplinary ... The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of… more
- General Dynamics Information Technology (Menands, NY)
- …activity reports to determine capacity for delivery. + Monitor and enforce the program 's ongoing quality efforts to support directives from leadership. + Monitor ... **Here's where you come in:** You'll join our talented Program Leadership Team. Our project is a large-scale Java...leader for the Software Development teams and will promote quality , service, teamwork, growth and cost-effective management of the… more
- Highmark Health (Westfield, NY)
- …and develop clinical and professional skills and knowledge. + Participates in systematic peer review and obtains informal feedback regarding one's own practice ... as a licensed nurse and is accountable to patients for the quality of care delivered. **ESSENTIAL RESPONSIBILITIES:** + The registered nurse provides… more
- Highmark Health (Westfield, NY)
- …and develop clinical and professional skills and knowledge. + Participates in systematic peer review and obtains informal feedback regarding one's own practice ... as a licensed nurse and is accountable to patients for the quality of care delivered. **ESSENTIAL RESPONSIBILITIES:** + The registered nurse provides leadership… more
- WTW (New York, NY)
- …with Sales Compensation aspects of the process (Producer/EBIT/Sales compensation components) + Provide quality assurance / peer review of analysis + Support ... + Support Compensation Leads and Advisors on Sales Compensation plan activities: + Review and maintain sales plan inventory + Manage the sales compensation plan … more