- American Express (New York, NY)
- …detail-oriented colleague to be a part of our ERM Governance, Reporting and Independent Review team in the second line of defense aligned with our business units. ... risk, strategic risk, and reputational risk o Provide independent review and challenge to the business unit's risk ID...of risk reporting processes. + Risk Governance and Independent Review : o Develop and maintain a comprehensive understanding of… more
- Centene Corporation (New York, NY)
- …criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care + ... care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned + Complies with… more
- JPMorgan Chase (Uniondale, NY)
- …reviews on properties and borrowers to derive at appropriate risk ratings. + Review annual property operating statements, rent rolls, and local market conditions to ... experience. + At least 2 years of experience with credit analysis and review of commercial real estate loans. + Previous experience in portfolio management, loan… more
- Molina Healthcare (Albany, NY)
- …team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review , and/or other utilization management activities aimed at ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual / MCG guidelines. **Preferred… more
- Global Foundries (Malta, NY)
- …+ Hosting regular meetings with cross-functional teams. + Governing delegated review boards, ensuring compliance with quality standards and defining customer ... and tracking efficiency and effectiveness through KPIs. + Managing escalation review boards with senior leadership team. + Leading continual improvement activities… more
- Citigroup (New York, NY)
- …attention to detail. + Demonstrated leadership skills in managing comprehensive review and challenge processes across various business functions. + Willingness to ... our search tools and/or apply for a career opportunity review Accessibility at Citi (https://www.citigroup.com/citi/accessibility/application-accessibility.htm) ._ _View Citi's EEO… more
- City of New York (New York, NY)
- …Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will: - Be responsible for overseeing the day-to-day ... of completed Homeless Housing Applications (HHA) via HOME and Paper HHA's submissions. Review the ROI forms for the agency, as necessary. - Ensure completed packets… more
- Guthrie (Binghamton, NY)
- …services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests within assigned ... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated… more
- Molina Healthcare (NY)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all ... current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE)… more
- Centene Corporation (New York, NY)
- …applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA ... standards + Communicates with members, providers, facilities, and other departments regarding appeals requests + Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State,… more