• Data Quality Analyst ( RN…

    Guthrie (Vestal, NY)
    Up to a $25,000 Sign On Bonus Job Summary: Conducts quality data analysis and clinical decision support for designated system(s). Education/Licenses: High School ... required. Responsibilities: + Supports measurement and system improvement. Develops quality , safety, reliability and customer satisfaction metrics and analytics. +… more
    Guthrie (05/08/25)
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  • Clinical Transformation Analyst

    Stony Brook University (Stony Brook, NY)
    Clinical Transformation Analyst **Position Summary** The...+ Possession of a license to practice as a Registered Nurse in New York State **Special ... ensure the systems developed are consistent with evidence based best practices, clinical standards, quality and patient safety initiatives, and regulatory… more
    Stony Brook University (07/16/25)
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  • Clinical Value Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Clinical Value Analyst will support the Value Analysis Program (VAP) to identify cost savings opportunities, improve clinical outcomes and ... of financial, clinical , operational and evidenced based data sources, the Clinical Value Analyst will assist in the selection, evaluation, monitoring,… more
    SUNY Upstate Medical University (07/03/25)
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  • Quality Management Nurse…

    UHS (Binghamton, NY)
    Position OverviewUnited Health Services (UHS) is seeking a Quality Management Nurse Analyst to support our commitment to excellence in patient care and ... this analytical and clinically focused role, you will review clinical data, monitor quality metrics, and identify...standards and driving continuous improvement. If you're a detail-driven RN with a passion for quality and… more
    UHS (07/02/25)
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  • Legal Nurse /Medical Analyst…

    New York State Civil Service (Albany, NY)
    …General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany office. Medical ... No Agency Attorney General, Office of the Title Legal Nurse /Medical Analyst : Medicaid Fraud Control Unit (6393)...Minimum Qualifications Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum… more
    New York State Civil Service (06/13/25)
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  • Manager Behavioral Health Services

    Elevance Health (Latham, NY)
    …to policies/procedures. + Ensures staff adheres to accreditation guidelines. + Supports quality improvement activities. + May assist with implementation of cost of ... for BH UM may include:** Manages a team of licensed clinicians and non- clinical support staff responsible to ensure medical necessity and appropriateness of care for… more
    Elevance Health (07/25/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Latham, NY)
    …you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary ... quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as appropriate.… more
    Elevance Health (07/02/25)
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