- Centene Corporation (New York, NY)
- …ensure appropriate and effective utilization of healthcare services + Works with utilization management senior management team to provide updates ... accreditation standards, and industry best practices related to utilization management + Educates and provides resources...ensure adherence to quality and performance standards + Assists utilization management senior leadership with… more
- University of Rochester (Rochester, NY)
- …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
- City of New York (New York, NY)
- …to fill one (1) Management Auditor II Auditor to function as a Senior Account Auditor who will: - Perform both Annual and Final closeout audits for CAMFR, ... - Review newly registered contracts to assure the accurate utilization when allocating allowable costs to its various funding...of Education and by the Council for Higher Education Accreditation (CHEA) in management , computer science, public… more
- Amazon (New York, NY)
- …Registration, Professional Engineer Registration, CEM and/or other building professional accreditation - Experience in building portfolio management and/or ... estate strategies and operations across our global fulfillment network. As a Senior Carbon Modelling Lead within the Global Realty Sustainability & Renewable Energy… more
- Molina Healthcare (NY)
- …continuous quality improvement of the provider database, compliance with regulatory/ accreditation requirements, and Network Management business operations. ... improvement initiatives as it pertains to other provider network management areas. **KNOWLEDGE/SKILLS/ABILITIES** + Bridge communication and collaboration between… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes ... departments, internal and external customers, policies, and procedures. Participates in senior management business and clinical strategy development and… more
- Mohawk Valley Health System (Utica, NY)
- …+ 8 years of clinical experience. Previous or current experience working in Quality Management / Utilization Management field. + 5 years of management ... Affairs - Full Time - Days Department: QUALITY IMPROVEMENT Job Summary The Senior Director of Quality Management Systems and Regulatory Affairs is responsible… more
- Evolent (Albany, NY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
- Evolent (Albany, NY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Albany, NY)
- …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
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