- Humana (Albany, NY)
- …and public relations strategies. + Develops corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of ... with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming + Represents Humana at all… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …pilots, prototypes, collaborations and projects to digitalize the Knowledge and Document management processes. - The Sr. Director of GQS liaises with applicable ... business functions (ie, Otsuka Data Sciences, Otsuka Information Technology, Applied Innovation and Process...will bring and maintain Otsuka's Quality Knowledge and Document Management practices to a best in class - digitalized… more
- Mount Sinai Health System (New York, NY)
- …Medical Records - WST, Mount Sinai West **Responsibilities** ** Clinical /Technical/Service** 1. Demonstrates the ability to perform technical/service/clerical tasks. ... and reports into the Epic EMR, OnBase Document Imaging/Records Management system and performing scanning functions on the nursing...merge EMR and hard copy medical records and demographic data as required to ensure visit history information is… more
- Centene Corporation (New York, NY)
- …appropriate care management interventions for escalated cases + Reviews member data to identify trends and improve operating performance and quality care in ... possess NY RN State Licensure as well as case management experience.** **Position Purpose:** Assesses, plans, and implements complex...for members in a cost-effective manner + May precept clinical new hires by fostering and building core skills,… more
- HTC Global Services Inc (Brooklyn, NY)
- …+ Ability to work independently while also collaborating with technical and clinical teams. + Excellent communication and interpersonal skills to interact with ... of desktop engineering or field support experience in a hospital or clinical setting. + Expertise in desktop/laptop imaging, configuration, and deployment. +… more
- RELX INC (New York, NY)
- …Building on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education ... and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's grand challenges and a more… more
- Northwell Health (New York, NY)
- …strategy recommendations; develops project charters, project plans, business plans. 6.Collects clinical and financial data to assess performance; evaluates ... tools and metrics to evaluate performance; partners with analytics team and collects data for review and analysis; prepares analyses, reports and presentations for … more
- Highmark Health (Buffalo, NY)
- …benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, ... **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal… more
- RELX INC (New York, NY)
- …Building on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education ... and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's grand challenges and a more… more
- RxBenefits (New York, NY)
- …resolve all service problems. + Meet or exceed departmental goals established by the Senior Vice President -Account Management . + Present a positive image in and ... as assigned. _Required Skills / Experience:_ + 8+ years of combined Account Management and Clinical Pharmacist experience. + Current Pharmacist license in good… more