- Guardian Life (New York, NY)
- …contracted and rental providers, optimizing for competitive position/size, traffic and utilization , and net effective discount. + Partner with leaders and key ... + Bachelor's degree or equivalent work experience required. MBA preferred. + Prior Group Benefits or Medical insurance experience preferred. + Exceptional analytical… more
- Ellis Medicine (Schenectady, NY)
- …and monitor the nursing care delivery system to assure effective and efficient utilization of staff and other resources. + As delegated by the Nurse Manager, ... genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual… more
- CVS Health (Albany, NY)
- …providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews and ... reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special… more
- Parsons Corporation (Syracuse, NY)
- …at this level is in a developmental mode, being trained in the utilization of relevant geological and/or hydrogeological theories and practices, and gaining exposure ... requirements. Successful completion of this exam(s) will be required post offer acceptance, prior to you being able to continue in the hiring process and onboarding.… more
- Trinity Health (Schenectady, NY)
- …members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients ... in rehabilitation. + Facilitation of benefit eligibility and precertification by payers prior to the rehabilitation admission. + Coordination of a smooth transition… more
- Nestle (Bohemia, NY)
- …+ **Risk Assessment and Elimination** - Leads the effective implementation and utilization of risk assessment and risk prediction processes across sites to ensure ... origin, disability, or veteran status or any other characteristic protected by applicable law. Prior to the next step in the recruiting process, we welcome you to… more
- Publicis Groupe (New York, NY)
- …turn object reporting into differentiating and inspiring creative ideas. + Own utilization of creative best practices across functional teams. + Map customer journey ... years' experience in an agency or advertising or marketing environment + Prior marketing strategy experience that includes CRM, Creative Strategy and program… more
- Copeland (Albany, NY)
- …needs.** **Analyze Program Effectiveness:** **Continuously analyze industry trends, utilization rates, portfolio performance, and employee feedback to recommend ... experience in managing and optimizing retirement programs within a large organization.** ** Prior experience managing retirement programs in a global company, or a… more
- WMCHealth (Port Jervis, NY)
- …peer reviews with insurances carriers to determine medical necessity and prior authorizations for medications/care . Oversees compliance with electronic records and ... for each encounter . Works with administrator regarding policy and procedure, utilization , and productivity . Meets Psychiatric Core Measures accurately and timely .… more
- Albany Medical Center (Albany, NY)
- …supervision is required, and whether consultant or director review is required prior to reporting patient test results. Constructively communicate with staff and ... to, antimicrobial stewardship, high risk pathogen committee, and clinical laboratory utilization committee. Serves as a resource in the resolution of healthcare… more
Recent Searches
- Delivery Driver 1 (Ohio)
- Senior Software Development Program (United States)
- general pediatrics clinical assistant (United States)
Recent Jobs
-
Sales Area Manager
- DR Horton, Inc. (Huntsville, AL)
-
Medical Assistant (MA, EMT, CNA, Paramedic) - Medical Weight Loss
- Hartford HealthCare (Glastonbury, CT)