- WMCHealth (Kingston, NY)
- …that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and ... utilization of a treatment program, and/or consultation with the...subjective and objective information obtained through interview, medical chart review , formal and informal test administration, with appropriate analysis… more
- University of Rochester (Rochester, NY)
- …complex contracts and finances and exercise independent judgement and discretion to deeply review all the financial reporting provided to and produced by AHP and ... systems to provide answers to key questions about our cost and utilization performance. This position will report to the Director of Information Management… more
- Cardinal Health (Whitestone, NY)
- …involving order promising, deviations to planned inventory levels, establishment and utilization of safety stock, and customer delivery difficulties + Identifies ... involving order promising, deviations to planned inventory levels, establishment and utilization of safety stock, and customer delivery difficulties + Identifies… more
- Oracle (Albany, NY)
- …procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer ... to key leaders. Technical Delivery Management: + Leading the review of and advises customers on optimal use and...service to customers and optimize overall product and service utilization to achieve ROI goals, influencing roadmaps and customer… more
- Wolters Kluwer (New York, NY)
- …delivery. + Develop KPIs and metrics that track delivery health, resource utilization , and financial performance across the portfolio by working collaboratively with ... PMO's and Finance Team to create and maintain mechanism for business case review and management as part of the prioritization process and business value realization… more
- Humana (Albany, NY)
- …Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, ... Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard weekends… more
- Healthfirst (NY)
- **Duties/Responsibilities:** + The Medical Peer Reviewer will assess/ review requests for authorization, and claims payment, based on medical records and internal ... Peer Reviewer will: + Maintain productivity standards. + Collaborate with Utilization Management and Care Management and medical departments as needed, reviews… more
- Comunilife (Bronx, NY)
- …delivery of high-quality, person-centered services. + Monitor caseload assignments, service utilization , and billing activity to ensure that monthly billable targets ... and Health Home Leads. + Conduct regular chart audits, quality reviews, and utilization monitoring to identify trends and implement corrective actions as needed. +… more
- Bassett Healthcare (Herkimer, 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
- MTA (Jamaica, NY)
- …will conduct the following critical work: Coordinate and implement the Internal Control Review Program across the MTA and its subsidiaries, including but not limited ... the identification and addressing of new policy needs and the maintenance, review , update, and dissemination of prevailing policy impacting the agency's workforce… more