- WMCHealth (Valhalla, NY)
- …Revenue Integrity and Patient Accounts department for Siemens Contract Management system (SCM). Responsibility involves performing complex financial analysis using ... SCM to calculate and project revenue and utilization for Hospital services. Other responsibilities would include monitoring hospital in-patient and out-patient… more
- New York State Civil Service (Newburgh, NY)
- …contract policies and procedures - current and as amended. This position is management confidential and is not covered under labor contract provisions within the ... equipment, motor vehicles and trucks as assigned. Ensure proper utilization of same by subordinate staff.* Overtime may be...any changes in medical conditions to the fire department physician through the appropriate chain of command.* Be aware… more
- Molina Healthcare (Yonkers, NY)
- …years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient… more
- Sedgwick (Albany, NY)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... college or university preferred. **Experience** Four (4) years of claims management experience or equivalent combination of education and experience required.… more
- Garnet Health (Harris, NY)
- …as necessary. Maintaining administrative records related to emergency evaluations and case management . Close collaboration with ED physician and other staff ... Medical Center - Catskills Emergency Department. Additionally will provide case management , and discharge planning for non-psychiatric patients. The Clinician is… more
- CDPHP (Albany, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... the member, the Employer Groups, Brokers and/or prospective members regarding the proper utilization of the Plan. In addition, the incumbent will address and resolve… more
- Stony Brook University (Commack, NY)
- …optimize, and provide necessary recommendations to patient's drug regimen with physician utilizing the collaborative drug therapy management protocol. ... Center Health Program. **Brief Description of Duties:** **Administrative/Pharmacy Benefit Management and Quality Assurance:** + Manage the PBM services provided… more
- University of Rochester (Rochester, NY)
- …urgent admissions. + Marks patients for merge and notifies Health Information Management . + Exercising tact, initiative and independent judgment based on financial ... offices to ensure proper information is received. + Confers with physician regarding postponement of elective admissions/services. + Assists physicians with… more
- Adecco US, Inc. (Queens, NY)
- …delivers tailored education and support both virtually and on-site, ensuring optimal utilization of reimbursement services. This position demands a high level of ... field or equivalent experience Business Experience: * Entry-level experience in project management * Minimum of 8 years healthcare related reimbursement experience *… more
- UHS (Johnson City, NY)
- …to learn more. Position Responsibilities + Communication and Relationship Management : + Builds Collaborative environments by developing trusting relationships ... in professional organizations locally, regionally or nationally. + Promote utilization of specialty knowledge from the standards of specialty professional… more