- Hunterdon Health Care System (Flemington, NJ)
- This is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Terumo Medical Corporation (Somerset, NJ)
- …field inventory-based modes, to include loaners, consignment, trunk stock. Field Inventory Specialist will ensure effective utilization of assets and compliance ... Field Inventory Specialist Date: Oct 23, 2025 Req ID: 4839...losses from expiry and maximize ROI, as well as review operational processes and data to identify opportunities for… more
- Justworks (New York, NY)
- GTM Field Activation Specialist New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... right in. Who You Are As a Field Activation Specialist , you will drive the execution of strategic go-to-market...and adoption of new strategies. + Tool and AI Utilization : Act as a subject matter expert on core… more
- CUNY (New York, NY)
- Finance Accounts Payable Specialist , FPCM (2 Vacancies) **POSITION DETAILS** The City University of New York's Department of Facilities Planning, Construction, and ... Reporting to the Facilities Budget Accounts Manager, the Finance Accounts Payable Specialist supports the department's financial operations by performing a range of… more
- Dow Jones (New York, NY)
- …**ABOUT THE ROLE** Reporting to a Client Retention Manager, the Client Engagement Specialist (CES) will manage all renewal aspects of the relationships with a ... made by the Account Executive. As a Client Engagement Specialist , you will liaise with internal Dow Jones' teams,...as retention strategies/ideas + Ensure appropriate levels of product utilization for a defined set of GRI customers by… more
- CUNY (New York, NY)
- Academic Student Support Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school ... The Associate Dean of Student Affairs is currently seeking a Academic Student Support Specialist . This position will play a primary role in Student Affairs and will… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least ... 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
- Cushman & Wakefield (Trenton, NJ)
- **Job Title** Procurement Specialist **Job Description Summary** Under the direction of the Procurement Leadership, this role will assist in all aspects of ... overall vendor management on the assigned client accounts. The Procurement Specialist is expected to have Procurement, Strategic Sourcing, Contracting and Analytical… more
- Citigroup (New York, NY)
- … utilization of Software-as-a-Service (SaaS) solutions across content development, review , and delivery processes. + Appropriately assess risk when business ... energetic and maintain a good sense of humor. Vice President, Content Delivery Specialist , Creative and Media Services (C13) **Job** **Summary** If you have a… more
- Datavant (Trenton, NJ)
- …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
- Sedgwick (Trenton, NJ)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC)… more
- CVS Health (Trenton, NJ)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Abbott (New York, NY)
- …certified on EP products. + Requires a minimum of 6 months in Clinical Specialist position. + Minimum of 2 years clinical experience (internal or external with ... + Achieves or exceeds expectations in most recent performance review . + Requires an average of 15+ cases a...over last 6 months). + Demonstrate ability to increase utilization of Abbott Advanced Mapping and Ablation Tools. +… more
- Evolent (Trenton, NJ)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- MetLife (Bridgewater, NJ)
- …strategically analyze customer data (eligible, participant, engagement, lapse, utilization ) to develop enrollment/communications strategies to drive employee ... internal organizations, including; Sales, Product COE, Distribution Development, Voluntary Specialist Director, and Marketing, to provide day-to-day support of… more
- City of New York (New York, NY)
- …vetting energy savings calculators and reviewing supporting audits, as needed; (2) utilization and review of existing tools, such as energy calculators, ... entities to identify and develop energy efficiency projects through the review of Energy Efficiency Reports (EERs), Energy Master Plans, electrification… more
- City of New York (New York, NY)
- …required; make professional recommendations accordingly. - Keep abreast of medical and utilization review techniques and developments relative to the nursing ... Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE COMMUNITY RELATIONS SPECIALIST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE ... WITH THE SCORE OF 100 ON THE OPEN COMPETITIVE ADMINISTRATIVE COMMUNITY RELATIONS SPECIALIST EXAM (# 1120) The Department of Homeless Services (DHS) is comprised of… more
- City of New York (New York, NY)
- …systems. Information Technology Services (ITS) is recruiting for one (1) IT Project Specialist , to function as Database Manager, who will; - Manage AWS RDS ... and index optimization to improve query performance. Monitor storage utilization ; add datafiles to maintain tablespace availability; manage connectivity through… more