• Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Job Description Remote work available! Up to $10,000 Sign on...Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective… more
    Arnot Health (08/08/25)
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  • Budgets and Contracts Manager

    EAC Network (Garden City, NY)
    …to $85,000 salary + Schedule: 9AM-5PM, Monday- Friday (*Fully Onsite with 1 day remote potential for Fridays) + Location: 99 Quentin Roosevelt Blvd in Garden City, ... Prepare and distribute monthly financial reports, providing transparency on budget utilization , remaining balances, and key budget status indicators. + Communicate… more
    EAC Network (08/08/25)
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  • UM Administration Coordinator

    Humana (Albany, NY)
    …service or customer service telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care ... organization. **Additional Information** + Workstyle: This is a remote position. + Travel: May need to attend onsite...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (09/30/25)
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  • Zone Installations Director for Medical Devices…

    Philips (Latham, NY)
    …the sales team. + Ensure accurate revenue forecasting and inventory utilization . + Maintaining customer relationships throughout the project lifecycle. + Achieving ... and inventory targets. + Driving process adherence through KPI review and regular on-site visits. + Driving integration across...You've acquired 5+ years of experience in leading a remote team of project managers in construction or healthcare… more
    Philips (09/24/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations,… more
    Humana (09/05/25)
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  • Warehouse Supervisor

    BP Americas, Inc. (Oakfield, NY)
    …and distribution activities. + Setup layout and ensure efficient space utilization . + Initiate, coordinate and enforce optimal operational policies and procedures. ... **Relocation Assistance:** This role is not eligible for relocation ** Remote Type:** This position is not available for ...local policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background… more
    BP Americas, Inc. (08/08/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... effective use of health care resources. **This is a remote based (work at home) based anywhere in the...opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine)… more
    CVS Health (08/08/25)
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  • Client Partner, Senior Director - Healthcare

    Acxiom (Albany, NY)
    …being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to ... high quality work on time and against commitments, proactive pitch proposals and business review presentations. **WHAT WILL SET YOU APART:** + 12 + years of relevant… more
    Acxiom (08/01/25)
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  • Business Intelligence Director

    CBRE (Albany, NY)
    …GWS Segment Role type Full-time Areas of Interest Data & Analytics, Facilities Management Location(s) Remote - US - Remote - US - United States of America **JOB ... Effectively recommends same for direct reports to next level management for review and approval. Plans and monitors appropriate staffing levels and utilization… more
    CBRE (07/30/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Albany, NY)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial (10/01/25)
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