- Elevance Health (New York, NY)
- …Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review ** **Virtual:** This role enables associates ... decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review... review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD… more
- World Insurance Associates, LLC. (Brewster, NY)
- …smooth and efficient placement processes, offering insights and recommendations. + Review , finalize and participate proposal meeting + Document clients order to ... bind and review binder for accuracy + Participates in post renewal...Proficient in self-serve portals and manages client training and utilization + Strong understanding of Excel + Follows a… more
- YesCare Corp (Coxsackie, NY)
- …including sentinel event reviews and chart audits. + Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. **Key ... + Provide and ensure on-call services to support patient care needs. + Review and approve clinical protocols, policies, procedures, and the medical disaster plan… more
- J&J Family of Companies (New York, NY)
- …activities creating competent, confident clinical + champions to drive the utilization of Monarch systems and scopes. + In-case procedural support, serving ... customers and corporate office for any cases needing peer review , ensuring timely and accurate reporting of any complaints...time. + Here's What You Can Expect + Application review : We'll carefully review your CV to… more
- Ryder System (Albany, NY)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... customers, insurance carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on claim status. Possess a… more
- Molina Healthcare (Rochester, NY)
- …team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... stakeholders requiring decision support. + Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (Albany, NY)
- …and expertise in performance of prior authorization, inpatient concurrent review , discharge planning, care management and interdisciplinary care team (ICT) ... * Develops medical policies and procedures as needed. * Conducts peer review processes. Required Qualifications * At least 8 years of relevant experience,… more
- Westside Federation for Senior Supportive Housing (New York, NY)
- …subordinate soft debt payments, seller notes, incentive management fees and others. + Review annual budgets as prepared by finance team; present annual budgets to ... for approval; track cash flow and deferred developer fees. + Preparation and review of periodic internal reporting, including review of NOI, delinquencies,… more
- RxBenefits (New York, NY)
- …plan reporting and our total reward program, including data gathering, validating, and utilization analysis. + Perform regular data audits of HRIS and supporting HR ... provide insights into workforce trends and metrics for management review . + Collaborate with HR teams and operational leaders...+ Generate turnover reports and conduct trend analysis, including review of exit interview data for common themes. +… more
- Compass Group, North America (NY)
- …to ensure financial goals are achievable. Improve the quality of financial review through benchmarking and sensitivity analysis. + Negotiate where appropriate in ... to continually improve the close process. + Analyze and review of weekly and monthly results and work closely...through: + Effective management of Account Receivables + Efficient utilization of capital investment + Sound inventory management +… more