- Evolent (Albany, NY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... cases. you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Albany, NY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Albany, NY)
- …As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Albany, NY)
- …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. .… more
- Mohawk Valley Health System (Utica, NY)
- …- Full Time - Days Department: NURSING ADMINISTRATION Job Summary The Senior Director of Nursing is responsible for establishing and maintaining excellence in ... operations throughout a number of inpatient programs and the organization. The Senior Director of Nursing is accountable for developing, leading, and executing large… more
- Villa of Hope (Rochester, NY)
- …with cultivation of referral sources; monitoring of cycle time for referrals/admissions; utilization management ; and documentation of services which aligns with ... Director will lead the planning and execution of strategy, operations, financial management , compliance, quality of care, and evaluation of outcomes for Tuckahoe… more
- City of New York (New York, NY)
- …challenges and solutions on procurement matters; correspond with program and ACCO Senior staff for rapid solution. Participate in meetings concerning contract or ... order portfolio and provide accurate status of procurement actions. Promote increased utilization of City-Certified M/WBE vendors and assist in the achievement of… more
- US Tech Solutions (Tarrytown, NY)
- Reporting into Senior Director Strategic Sourcing , this position will support and lead the Health System's Value Analysis Program from Procurement / Supply Chain ... initiatives. - Lead material resource selection, standardization, price optimization and utilization initiatives while promoting and utilizing Value Analysis in the… more
- Molina Healthcare (NY)
- …initiative review to measure results and report to health plan partners, senior management & stakeholders * Provides summary analysis of clinical ... membership accounting and enrollment, operational systems, provider contracting, authorizations/referrals, utilization management . * Understands key revenue levers… more
- City of New York (New York, NY)
- …transition from shelter into appropriate permanent housing. DHS is responsible for management of over 200 facilities, which mainly are individual and family shelters ... - Serve as the primary liaison with Program Administrators and senior stakeholders, facilitating collaboration and effective communication across teams. - Oversee… more