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870 Jobs in New York, NY

  • Senior Provider Relations Reprsentative

    Molina Healthcare - New York, New York
    ... related to utilization management, pharmacy, quality of care, and correct coding. • Independently ... management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ...
  • Sr Analyst, Healthcare Analytics (EST hours)

    Molina Healthcare - New York, New York
    ... presents healthcare utilization and cost containment reports and makes recommendations based on relevant ... /performance management metrics Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing ...
  • Clinical Review Nurse - Concurrent Review

    Centene Corporation - NEW YORK, New York
    ... on our Medical Management/Health Services team. Centene is a diversified, national organization ... medical records in health management systems according to utilization management policies and guidelines ...
  • Clinical Coordinator - Case Management

    Brighton Health Plan Solutions, LLC - New York, New York
    ... About The Role BHPS provides Case Management/Utilization Review services to its clients. The ... services. Our unique perspective stems from decades of health plan management expertise, our proprietary ...
  • Quality-Clinical Delegation Oversight Program Manager (R8104)

    Point32Health Services, Inc. - New York, New York
    ... outcomes of assigned services such as CM and UM (Utilization Management). The Clinical Program Manager ... Care Management, Utilization Management, and / or Member Appeals and Grievances in a health plan ...
  • AACCO, Office of the Agency Chief Contracting Officer

    City of New York - New York, New York
    ... health innovation, expertise, and programs, and services. We serve as the population health strategist ... national and international public policy, including programs and services focused on food and nutrition ...
  • Manager Behavioral Health Clinical Services

    Elevance Health - NEW YORK, New York
    ... the delivery of quality care management, clinical utilization, and referral services. How you ... **Manager Behavioral Health Clinical Services Location: This position will work in ...
  • Associate Mako Product Specialist - New York, NY

    Stryker - New York, New York
    ... mission to make healthcare better. What you will do Learn new technology. Provide support to surgeons . Change healthcare. Improve lives. As an Associate Mako ...
  • IT Academic Project Mgmt Director (IT Acd Tech Dir (HEO) - Instructional Computing & Information Technology (ICIT)

    CUNY - New York, New York
    ... IT Academic Project Mgmt Director (IT Acd Tech Dir (HEO) - Instructional Computing & Information ... managing I.T. projects in support of the college’s academic mission and student-focused services. The ...
  • Engagement Director - COE Digital Strategist

    Capgemini - New York, New York
    ... business needs and exceed client expectations. Your expertise in Salesforce technology, project management ... level of customer satisfaction. KEY RESPONSIBILITIES: Project Delivery Management: Lead the end ...
  • Clinical Assessment Manager (Korean Bilingual), RN License Required

    FlexStaff - New York, New York
    ... healthcare services, to work in their location in the Bronx, NY and floating to Queens, NY. This is a ... experience in care/case management, disease management, population health management, utilization review ...
  • Primary Care - Physician

    Project Renewal, Inc. - New York, New York
    ... Renewal’s Healthcare Department provides a diverse range of services: Federal Qualified Health Center ... development and implementation of quality assurance management and utilization review Participates ...
  • Manager - Business Operations

    HSS - New York, New York
    ... in-services for staff competencies are maintained Backup management of float employees and ... operational support of the medical staff and their offices of these Services, collaboratively defining ...
  • Social Worker - Martha Stewart Center for Living

    The Mount Sinai Health System - New York, New York
    ... management services organization developed to enhance the Health System’s implementation of population health ... Job Title: Social Worker - Martha Stewart Center for Living **_Social Work Services at ...
  • Manager - Business Operations

    HSS - New York, New York
    ... in-services for staff competencies are maintained Backup management of float employees and ... operational support of the medical staff and their offices of these Services, collaboratively defining ...
  • Strategy& Health Services Corp Strategy - Payer- Manager

    PwC - New York, New York
    ... operations (domain areas such as Medical Management, Population Health Management, Utilization Management ... Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization ...
  • Senior Business Dev Analyst

    The Trustees of Columbia University in the City of New York - New York, New York
    ... and Operational assessments of the department (space utilization, staffing, etc.)Prepare ... overall support services provided to the department through the design and development of new tools</li ...
  • Assistant Architect, Bureau of Facilities Planning and Administrative Services

    City of New York - New York, New York
    ... Management on space management and utilization initiatives, manage project design & documentation for the ... services. We serve as the population health strategist, and policy, and planning authority for the City of ...
  • Assistant Architect

    City of New York - New York, New York
    ... Planning & Space Management on space management and utilization initiatives, manage project design ... services. We serve as the population health strategist, and policy, and planning authority for the City of ...
  • Clinical Specialist - Endoscopy (NYC/Northern NJ)

    Medtronic - New York, New York
    ... convey this information in an effective manner to help support optimal utilization of the full product portfolio by the widest range of healthcare providers possible. **A Day in the Life ...
  • Strategy& Health Services Corp Strategy - Provider - Manager

    PwC - New York, New York
    ... , Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality ... healthcare product design and development to support care management and delivery workflows; Possessing ...
  • Head of Healthcare Providers, Healthcare and Life Sciences (HCLS), Americas, AWS Partner Organization (APO)

    Amazon - New York, New York
    ... Healthcare Providers Industry partner pipeline management, contributing to the Healthcare Provider partner ... Description To deliver patient-centered care, organizations in the heavily-regulated healthcare ...
  • Diagnostics Hematology Specialist (New York City)

    Adaptive Biotechnologies - New York City, New York
    ... , and other healthcare professionals with products, services, and information to enable customers to use ... identification and Clonoseq utilization. - Work cross functionally with Internal partners and stakeholders to ...
  • Diagnostics Hematology Specialist (New York City)

    Adaptive Biotechnologies - New York City, New York
    ... , and other healthcare professionals with products, services, and information to enable customers to use ... identification and Clonoseq utilization. - Work cross functionally with Internal partners and stakeholders to ...
  • Diagnostics Hematology Specialist (New York City)

    Adaptive Biotechnologies - New York City, New York
    ... , and other healthcare professionals with products, services, and information to enable customers to use ... identification and Clonoseq utilization. - Work cross functionally with Internal partners and stakeholders to ...
  • Software Engineer

    New York eHealth Collaborative - Albany or New York, New York
    ... connecting healthcare providers statewide, develops policies and standards that support the utilization of ... environments. Proficiency in AWS cloud services, server management, and understanding of back-end ...
  • Consulting Manager, Northeast

    Snowflake Inc. - New York, New York
    ... Services, Healthcare, etc)Application Development experienceAWS, Google or Microsoft ... Services is the implementation and strategy experts for the Snowflake platform. We engage with customers at ...
  • AMER Healthcare Payers, HCLS Partner Development Specialist (PDS), AMER Industry & Solutions

    Amazon - New York, New York
    ... include Healthcare Payer Industry partner pipeline management, contributing to the Medical Devices partner ... Description To deliver patient-centered care, organizations in the heavily-regulated healthcare ...
  • Social Worker, Population Health

    Brighton Health Plan Solutions, LLC - New York, New York
    ... healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective ... interpretation of applicable criteria and clinical guidelines, care management plans, policies, procedures and/or ...
  • Regional Facilities Manager

    HSS - New York, New York
    ... management. Oversee the completion of corrective and preventive maintenance work assignments for ... rapid response, investigation, and management of emergency facilities related situations ...
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