- Centene Corporation (New York, NY)
- …cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and ... education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of medical services,… more
- Intermountain Health (Albany, NY)
- …using established benchmarks, prepares information and participates in annual review process for physician compensation compliance and provides analytical support ... and APP professional affairs. This position is responsible for Physician contract review for compensation compliance. Works with Market and Service Line operations… more
- American Express (New York, NY)
- …risk board approved plan and findings resolution o Conduct QC checks on 2LOD review reports + Reporting o Quarterly Aggregate Credit Risk Assessment Report o Report ... capabilities o Develop automated tools to write and QC review reports using LLM models **Experience and Background:** +...and findings resolution + Conduct QC checks on 2LOD review reports + Reporting & Analytics + Quarterly Aggregate… more
- Stony Brook University (Stony Brook, NY)
- …will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised ... full consideration, applications must be received before the initial review date (which is within two weeks of the...weeks of the posting date). If within the initial review no candidate was selected to fill the position… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes ... as needed, at the time of the annual performance review + Non-care manager support staff duties may include:...on designated criteria to other Care Coordination staff for review and screening + Use a systematic approach to… more
- SMBC (New York, NY)
- …and portfolio monitoring teams, the lender group and Export Credit Agencies Review draft legal documentation and provide comments to origination teams and counsel ... the presented materials satisfy each of the required CPs Check CPs, review cash waterfall activity and approve Collateral Account transfer requests for operating… more
- Customs and Border Protection (New York, NY)
- …and acceptance of findings and recommendations. Applying fact-finding techniques to review and gather evidence related to applicable employee relations laws and ... does not interfere or conflict with performance of your official duties. Please review further details via the following link. DHS uses E-Verify, an internet-based… more
- New York State Civil Service (Albany, NY)
- …with vendors and other state agencies.*Prepare and conduct vendor/contractor responsibility review of checklists, vendor profiles, and other documents to record ... review information, statuses, and outcomes.Research/Communication:*Perform research/analysis and write/compile documentation as assigned by senior managers.*Respond… more
- Actalent (Farmingdale, NY)
- …quotes) on all subcontractors, materials, and rental purchases over $5,000. + Review and evaluate estimates created by the Estimating Department and/or Project ... payable invoices over $5,000. + Handle customer collections and billing. + Review , complete, and execute project contracts in accordance with division requirements.… more
- New York State Civil Service (Thiells, NY)
- …determination of a person meeting the criteria for OPWDD services as well as the review and completion of the Level of Care form allowing individuals to enroll into ... are essential in addressing the following work activities:* Complete a clinical review of eligibility documentation comprised of testing and assessments* Assist with… more