- Humana (Albany, NY)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... This individual is responsible for timely and accurate data reporting to management , payers and other business partners. **Qualifications** + Bachelors Degree or… more
- Rochester Regional Health (Rochester, NY)
- Redefine Pain Management Care with Us Pain Management PhysicianRochester Regional Health | Western NY | Full-time |Hospital Employed At Rochester Regional Health ... to discomfort, and empathy to every encounter. We're searching for a Pain Management Physician who is ready to elevate the patient experience while becoming part… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN...affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... Management Professional work assignments are varied and frequently require...affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Social Worker - WTC Case Management ** **_Social Work Services at the Mount Sinai Hospital_** The Mount Sinai Hospital is a 1,134-bed ... illnesses. + The social worker in this position is responsible for providing case management services to WTC responders who are members of the World Trade Center… more
- Philips (Manhattan, NY)
- As a Clinical Specialist with our Lead Management team you will provide clinical expertise and organic revenue generation and growth to drive customer engagement and ... stakeholders to present a value proposition, excellent planning and organizational, project management and time management skills, and professional presence that… more
- CenterWell (Albany, NY)
- …clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a… more
- New York University (New York, NY)
- …individuals. The curricula supports delivery of all PROS components (Community Rehabilitation and Support, Intensive Rehabilitation , Ongoing Rehabilitation ... that behavioral health professionals receive training in evidence-informed psychiatric rehabilitation practices + Facilitate behavioral health professionals' access to… more
- Humana (Albany, NY)
- …concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate ... + Minimum 2 years of experience with a leading management consulting firm + Strong analytical & strategic skillset...affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance… more