- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance… more
- Bloomberg (New York, NY)
- Senior Benefits Specialist (Retirement, Leaves & Disability) Location New York Business Area Human Resources Ref # 10047321 **Description & Requirements** The energy ... have an exciting opportunity for a dynamic Senior Benefits Specialist to join our Americas Benefits team. This role...and other complex benefits matters * Analyze plan performance, utilization trends, and benchmarking data to drive plan design… more
- Rochester Institute of Technology (Rochester, NY)
- **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** + Patient Care Services & Clinical ... delegated by the Administrative Supervisor: + Create Master Templates + Manage, review and adjust daily appointment schedules; use independent judgement to address… more
- Oracle (Albany, NY)
- …Manager and the roles within the pods (eg, Business Analyst, Integration Specialist , QA, etc.) and contribute to strategic planning, direction, and goal setting ... procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer… more
- J&J Family of Companies (New York, NY)
- …**Job Description:** We are searching for the best talent for Sr. Clinical Specialist to be in New York City/Northern New Jersey area. **About Surgery** Fueled ... Learn more at https://www.jnj.com/medtech **Core Job** **Responsibilities:** + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina, United States;New York, New York **To proceed with your application, you ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25005709-2) **Job Description:** At Bank of America, we are… more
- The Brattle Group (New York, NY)
- …held, global economics consulting firm, is looking for a **Senior Practice Development Specialist ** to join our **Boston, MA, New York, NY, San Francisco, CA, ... Chicago, IL, or Washington DC** office. The Senior Practice Development Specialist is a key thought partner for the leaders of our Management Groups in advancing… more
- Datavant (Albany, NY)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- Northwell Health (Melville, NY)
- …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. + Performs concurrent and retrospective ... experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have experience with Milliman Care… more
- Access: Supports For Living (Middletown, NY)
- Clinical Quality Improvement Specialist - $1,500 Sign-On Bonus Location: Middletown, NY, United StatesDate Posted: Dec 11, 2025 Share: share to e-mail Apply Now Save ... and paper, and ensures follow through to close audit. + Conducts Utilization Reviews, electronically and paper, and ensure follow through. + Collaborates with… more