- Highmark Health (Buffalo, NY)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- New York State Civil Service (Schenectady, NY)
- …of General Services (OGS) to ensure landlords remedy lease compliance issues.* Review proposed lease sites and provide recommendations for project scope development ... and cost estimation.* Analyze space utilization data to identify opportunities for improvement and propose changes that enhance efficiencyConstruction and… more
- Humana (Albany, NY)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post… more
- Robert Half (New York, NY)
- …on client projects for a respective business area and manage key metrics ( utilization /chargeability/forecasting) . You will play a key role in the growth of the ... business preparation and forecasting, to solution/segment leadership. + Lead staffing calls, review prepared reporting and analysis to inform leadership on key data… more
- Coinbase (Albany, NY)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... analysis, risk assessments, development of the audit plan, project management, quality review , report issuance and issue validation across IT and business functions.… more
- Coinbase (Albany, NY)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... spaces that emphasize the work, the brand, and the people.* Coinbase's remote -first approach emphasizes flexibility and inclusivity, allowing most employees to work… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... compliance monitoring, including but not limited to, monitoring of health review requirements (OSHA), professional license, DEA, sanctions, NPDB, complaints, and… more
- Coinbase (Albany, NY)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... cutting-edge tools and technologies for market analysis, portfolio optimization, and space utilization . *What we look for in you (ie. job requirements): *Education &… more