- Nuvance Health (Danbury, CT)
- …Works to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, , documentation and denials/downgrades. ... Manages processes, policies, workflows and overall management of the physician advisor role within the organization. *...Prevention and Denial Management teams with complex cases requiring Physician Advisor expertise to support both peer… more
- Stony Brook University (Stony Brook, NY)
- …Management:** + Oversee medical care and treatment in collaboration with a lead physician . + Supervise clinic operations, case management, pharmacy, billing, ... licensure as a healthcare provider in the state of New York (eg, physician , nurse practitioner, or registered physician assistant or equivalent). Five (5)… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... committee meetings. * *Utilization Review (UR):* * *Proactive UR:* Lead a team of UR nurses to conduct timely...* *Denials Management & Appeals:* * *Root Cause Analysis:* Lead a specialized team to thoroughly investigate claims denied… more
- Cardinal Health (Hartford, CT)
- …for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We are a distributor ... In this role, you will have the opportunity to lead meaningful work, collaborate across functions, and help shape...to the leadership timely + Act as a trusted advisor to IT and business leadership as well as… more
- CVS Health (Hartford, CT)
- …**POSITION SUMMARY** The Staff Security Engineer of IAM will be architect and lead engineer for SailPoint ISC implementation at CVS Health. This position will ... solutions. The Staff Security Engineer, IAM, will serve as the architect and lead engineer for SailPoint Identity Security Cloud (ISC) implementation at CVS Health.… more