• Medical Director - Southeast Region

    Humana (Albany, NY)
    …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
    Humana (09/10/25)
    - Related Jobs

  • Strategic Planning Project Manager

    Xylem (Cheektowaga, NY)
    …Management of inventory control systems: Overseeing the implementation and utilization of software for real-time tracking, stock reconciliation, and reporting. ... Planning Management: + Own the Master Production Schedule that ensures effective utilization of resources and on-time delivery. + Create, manage and maintain an… more
    Xylem (09/09/25)
    - Related Jobs

  • Care Review Clinician, PA (RN)

    Molina Healthcare (Rochester, NY)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). MULTI STATE / COMPACT LICENSURE… more
    Molina Healthcare (09/05/25)
    - Related Jobs

  • Program Manager II-Membership Relations-Geriatric…

    Mount Sinai Health System (New York, NY)
    …reach program and organizational goals through engagement in the CAPC community and utilization of member resources. All these outreach efforts ensure that CAPC is ... revenue to ensure organizational health. Member retention and member utilization of CAPC resources are the success metrics for...how to use CAPC membership and how to increase utilization of CAPC resources among staff. + Proactively reach… more
    Mount Sinai Health System (09/05/25)
    - Related Jobs

  • Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (NY)
    …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports ... and/or Tableau and data management + Knowledge of healthcare operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.)… more
    Molina Healthcare (08/31/25)
    - Related Jobs

  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Buffalo, NY)
    …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard ... information from data sources. + Knowledge of healthcare operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.)… more
    Molina Healthcare (08/27/25)
    - Related Jobs

  • Civil Engineering Department Manager

    Colliers Engineering & Design (New York, NY)
    …of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not ... meeting utilization goals. + Actively involved with business development and the cross-selling of all company services. + Prepares for the future state of the discipline through succession planning in a timely manner. + Holds people managers within the… more
    Colliers Engineering & Design (08/19/25)
    - Related Jobs

  • Deputy Director, M/WBE Officer

    City of New York (New York, NY)
    …leveraging DDC's procurement contracts to advance DDC's and citywide M/WBE utilization goals; reviewing and approving subcontractors and subcontractor utilization ... supporting the development and implementation of the agency's annual M/WBE Utilization Plan; and completing project closeout functions to assess final compliance… more
    City of New York (08/17/25)
    - Related Jobs

  • Clinical Nurse-Wound Care-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …by: 1) Assisting clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current clinical situations. 2) ... clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current...research in clinical practice. i. Participates in development and utilization of nursing research designs and serves as a… more
    Mount Sinai Health System (08/16/25)
    - Related Jobs

  • Analyst Capacity Management(Patient Access)

    Saratoga Hospital (Saratoga Springs, NY)
    …scheduling tools and data driven capacity planning, the Analyst helps ensure optimal utilization of resources, and improved access to care. What You'll Do EPIC ... Analyzes key access metrics including, but not limited to: schedule utilization , provider utilization , no show rate, late cancelation rate, third next available… more
    Saratoga Hospital (08/15/25)
    - Related Jobs