- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category)...to sit for long periods of time. . 100% remote but if local may include some travel to… more
- Trinity Health (Syracuse, NY)
- …abilities. * Ability to work independently and cross-functionally. * Local remote candidates will be given priority consideration. Financial and Operations Analyst ... **Vision:** .To be world-renowned for passionate patient care and outstanding clinical outcomes. **Core Values:** .In the spirit of good _Stewardship,_ we… more
- Molina Healthcare (Yonkers, NY)
- …and behavioral health needs in care planning, along with an understanding of clinical guidelines, social determinants of health, and health equity principles is also ... beneficial. Case management and managed care experience is preferred. Remote position based in New York A New York...determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness… more
- Humana (Albany, NY)
- …degree in Nursing. + Seasoned RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge and expertise as evidenced by ... skills. + Effective problem solving and appropriate application of clinical knowledge + Must have a separate room with...Go365 perks for well-being Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Danaher Corporation (New York, NY)
- …the product lifecycle. You will play a pivotal role in identifying unmet clinical needs and translating those needs into groundbreaking products and in managing the ... our product portfolio. This position is part of the Clinical Chemistry & Immunoassay Business Unit located at our...MN and will be onsite. We will consider a remote option for highly-qualified candidates. At Beckman Coulter, our… more
- Envista Holdings Corporation (Albany, NY)
- …affect local sales. + Study and stay informed on products, technologies, clinical studies, competitive activity, and other general information of interest to company ... to digest, to comprehend, and verbalize highly technical product and clinical information related to company and industry products. + Demonstrated professional… more
- City of New York (New York, NY)
- …Agency's Chief Medical Officer. The Bureau of Bronx Neighborhood works with clinical and community partners to expand access to high-quality, culturally responsive ... The Bureau of Bronx Neighborhood Health is seeking to hire two (2) Clinical & Community Partnerships Facilitators to support the Bronx Asthma Program. DUTIES WILL… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... appropriate level of care and medically necessity based on clinical policies and guidelines + Reviews member's transfer or...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Northwell Health (Melville, NY)
- …utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness ... with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and...with Milliman Care Guidelines and/or InterQual. Hours/Shift + Fully remote role + Days: Sunday - Thursday + Hours:… more
- Norstella (Albany, NY)
- …Analyst II, Domain ( Clinical & Commercial Development) Company: Norstella Location: Remote , United States Date Posted: Dec 9, 2025 Employment Type: Full Time Job ... and delivers must-have answers and insights, leveraging AI, for critical strategic, clinical , and commercial decision-making. We help our clients: + Accelerate the… more