- Molina Healthcare (Rochester, NY)
- …rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. + ... and other statistical methodologies to predict future trends in cost, utilization , and performance. + Assist with research, development and completion of… more
- LSI Solutions (Victor, NY)
- …by analyzing equipment layouts, workflow, assembly methods, and work force utilization . ESSENTIAL FUNCTIONS: Production Engineer I, II, III: + Provide technical ... of manufacturing processes within production; creates project plans, performs utilization studies, identifies capacity needs and constraints, and makes… more
- Healthfirst (NY)
- …+ Provide strategic oversight and operational management for all utilization management functions, including prior authorization, concurrent review , ... for audits, performance improvement plans, and corrective actions related to utilization management + Foster a culture of accountability, professional development,… more
- Catholic Health Services (West Islip, NY)
- …HAC Meeting, Hospital Performance Improvement and Patient Safety Committee, and Utilization Management Committee. + Participate in the development and furthering of ... for Risk Management activities and processes, such as Root Cause Analyses, to review and monitor the quality of care provided to patients and improve outcomes.… more
- BronxCare Health System (Bronx, NY)
- …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... completing job tasks. -Assists the Administrative Manager and Director with annual review and revisions of departmental policies, and procedures as required. -When… more
- New York State Civil Service (Albany, NY)
- …Solicit, review and track compliance of MWBE and SDVOB utilization , commitments, and workforce participation.* Ensure data is accurately reflected in tracking ... systems and databases.* Manage MWBE and SDVOB utilization for multiple high-profile projects, tracking compliance with NYS...Article 3 of the New York Veterans' Services Law.* Review grant, and contract documents to ensure that applicable… more
- MTA (New York, NY)
- …optimum quality of Security engagement throughout the MTA. Recommend better utilization of existing resources such as surveillance, technology, and staffing to ... with MTA Security staff, field observations of Security operations, and analysis. Review the comprehensive analytical reports generated by analysts for the purpose… more
- New York Power Authority (Astoria, NY)
- …power, metering, control, security and fire alarm) ; and/or Customer utilization electrical systems (medium-low voltage power, control and fire alarm). Develop ... control systems in generation, transmission, substation, planning, metering or Customer utilization sites as assigned. Ensures that standards of quality, economics,… more
- Bassett Healthcare (Cooperstown, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more
- Elevance Health (Latham, NY)
- …and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening ... and there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with complex… more