• Medical Director - NorthEast Region

    Humana (Albany, NY)
    …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's… more
    Humana (07/25/25)
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  • Vocational Counselor-PT

    Outreach Development Corporation (Brentwood, NY)
    …with regard to tracking, reporting and outcome objectives, including ongoing internal review of service delivery. . Assist with coordination, training and support to ... the Site Director. . Implement vocational services and promote utilization of staff that serves to enhance program ...utilization of staff that serves to enhance program utilization , service delivery and workforce development for clients. .… more
    Outreach Development Corporation (08/11/25)
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  • Senior Compliance Analyst

    City of New York (New York, NY)
    …is composed of 5 Units: - Labor Monitoring Unit (LMU) - Integrity Review Unit (IRU) - Engineering Audit Division (EAD) - System Administration & Engagement ... (EOIP)unit was created to support the Mayor's goal of increasing the utilization of minority-owned and/ or women-owned business enterprises (M/WBEs) in the design… more
    City of New York (08/08/25)
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  • Data Science Analyst III - Pharmacy Reporting…

    Mount Sinai Health System (New York, NY)
    …of 340B program compliance, hospital pharmacy operations, and medication utilization . + Demonstrated ability to manage complex projects, prioritize tasks, ... interactive dashboards and reporting tools to monitor pharmacy expense trends, utilization , and key performance indicators. + Manage and maintain Pharmacy DataMart… more
    Mount Sinai Health System (07/30/25)
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  • Care Coordinator II

    Spectrum Health and Human Services (Buffalo, NY)
    …Care Coordinator will be responsible for the following outcomes: to reduce utilization associated with avoidable and preventable inpatient stays, to reduce ... utilization associated with avoidable emergency room visits, to improve...to ensure client care plan needs/goals are met. + Develop/ review /revise the individual's plan of care with the client/family… more
    Spectrum Health and Human Services (07/16/25)
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  • Senior Architect

    City of New York (New York, NY)
    …coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations. ... all difficult and responsible architectural work associated with the preparation, review , and management of the Agency's construction program. - Develop project… more
    City of New York (08/13/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Albany, NY)
    …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more
    Humana (08/09/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …written and verbal communication and customer service skills. **_Financial Management_** + Review each visit for insurance history by utilizing the hospital system ... Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain a… more
    University of Rochester (08/07/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. * Help connect the ... to care * Prior experience with Care Management or Utilization Management * Understand levels of care including Inpatient,...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (07/15/25)
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  • CMSU Research Quality Assurance Coordinator III

    University of Rochester (Rochester, NY)
    …Services Unit. Expected to act with minimal guidance in the areas of review and approval of critical documents; SOP's, Process Orders and CMSS documents. The ... and labeling components and assembled clinical supplies. + Incoming inspection and review of all labeling, drug products and components documentation for conformance… more
    University of Rochester (08/07/25)
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