- Highmark Health (Albany, NY)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- Elevance Health (New York, NY)
- …nurses and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing. + Participate in periodic ... + Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in work… more
- US Army Corps of Engineers (New York, NY)
- …the management and disposal of real estate. Oversee compliance inspections, utilization reviews, GSA surveys, encroachments and trespass resolution, land title ... disposal of the federal real property; Providing technical guidance for the utilization of real property to coordinate work with local organizations, private… more
- Highmark Health (Albany, NY)
- …internal clinical and value-based evaluation committees that drive formulary and utilization management functions. + Participate in product specific Pharmacy and ... Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or contractually required. + Participate in product specific government meetings as… more
- Mount Sinai Health System (New York, NY)
- …credentialed designee. 4. Ability to interpret and apply principles of nursing research utilization . 5. Ability to manage and coordinate a patient caseload. 6. Work ... credentialed designee. 4. Ability to interpret and apply principles of nursing research utilization . 5. Ability to manage and coordinate a patient caseload. 6. Work… more
- Highmark Health (Albany, NY)
- …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… more
- Gateway-Longview (Williamsville, NY)
- …In collaboration with the Sr. Clinical Director, monitor staff productivity and utilization of internal and external available services and provide feedback to ... for all cases and on-going consultation with other team members. + Ensure full utilization of the department by assuming supervision of the intake worker for the… more
- New York State Civil Service (Albany, NY)
- …in the promotion of Medicaid program integrity and appropriate delivery and utilization of Medicaid programs and services; OR* Associate's degree* AND two years ... participation in the Medicaid program or the appropriateness of billing or utilization of service; or developing referrals for further action or recommendations for… more
- Molina Healthcare (Albany, NY)
- …submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint operation committees ... care, including 2 years' experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. +… more
- Global Foundries (Malta, NY)
- …and productivity improvements. Work includes analyzing ways to balance equipment utilization , meet production demand and consideration of spending targets. This ... processes which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are… more