• Utilization Management…

    Elevance Health (Latham, NY)
    ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
    Elevance Health (07/16/25)
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  • Utilization Review Manager

    Phoenix House (Wainscott, NY)
    ** Utilization Review Manager** **Job Details** **Job Location** East Hampton Residential - Wainscott, NY **Position Type** Full Time **Education Level** Graduate ... **Job Category** Nonprofit - Social Services **Description** **SUMMARY** The Utilization Review (UR) Manager coordinates commercial, and Medicaid Managed Care… more
    Phoenix House (06/25/25)
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  • Care Management Representative

    Saratoga Hospital (Saratoga Springs, NY)
    Care Management Representative Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Per Diem Shift/Schedule: Day Shift ... Groups under the guidance of the Director of Care Management . The Care Management Representative ...severity of illness & intensity of service for appropriate utilization management and 1st level criteria reviews.… more
    Saratoga Hospital (06/26/25)
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  • Bleeding Management Hospital Specialty…

    Grifols Shared Services North America, Inc (New York, NY)
    …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
    Grifols Shared Services North America, Inc (07/08/25)
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  • Servicing Representative

    Independent Health (Buffalo, NY)
    …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
    Independent Health (07/12/25)
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  • Route Relief Sales Representative

    Manhattan Beer Distributors (Ridgewood, NY)
    …second to none? How Will You Contribute? This position assists the branch management team in the overall sales effort to maximize product sales, increase product ... toward the successful completion of the branch goals. Route Relief Sales Representative is responsible for compliance of company's policies in all areas impacted… more
    Manhattan Beer Distributors (07/15/25)
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  • Patient Experience Representative

    Trinity Health (Syracuse, NY)
    …the Mission, Vision and Values of St. Joseph's Health, the Patient Experience Representative contributes to the day-to-day functions related to the Office of Patient ... related to both positive and negative experiences within St. Joseph's Health. The representative acts as a liaison with clinical leadership, service areas, risk … more
    Trinity Health (06/19/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Buffalo, NY)
    …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
    Molina Healthcare (06/15/25)
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  • Specialty Sales Representative , Immunology

    Grifols Shared Services North America, Inc (Albany, NY)
    …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... aligned with customer segmentation and enhance formulary and dosing protocols. * Utilization of Managed Markets, Marketing, Ig Nurse Educators, MSL, etc. *Educate… more
    Grifols Shared Services North America, Inc (07/12/25)
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  • Claims Representative - Workers Comp (CA…

    Sedgwick (Albany, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp (CA experience preferred) **PRIMARY PURPOSE** : To process ... physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS… more
    Sedgwick (07/09/25)
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