- Elevance Health (Latham, NY)
- ** Utilization Management Representative II** **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 II** is responsible for… more
- 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
- 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
- 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
- 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
- Manhattan Beer Distributors (New York, 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
- 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
- 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
- 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
- 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
- Boehringer Ingelheim (Great Neck, NY)
- …along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected. ... records concerning activities; communicates timely, accurately and meaningfully with Management . Utilizes CRM tool and supporting analysis to plan activity,… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding education of ... the member, the Employer Groups, Brokers and/or prospective members regarding the proper utilization of the Plan. In addition, the incumbent will address and resolve… more
- Datavant (Albany, NY)
- …to appropriate management staff. + Provide status reporting and report management . Strong utilization of SalesForce to include monitoring and documenting ... realize our bold vision for healthcare. Datavant is hiring a Sales Development Representative for the Commercial Client Success team to expand our already dominant… more
- Ricoh Americas Corporation (Albany, NY)
- **Senior Field Representative , Support CIP** _Position Overview_ This role requires a highly skilled technical professional capable of independently delivering ... to improve efficiency. Identify opportunities to increase Ricoh equipment utilization , supplies, and services. Assemble, adjust, and maintain products according… more
- Highmark Health (Albany, NY)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- University of Rochester (Rochester, NY)
- …other duties as assigned. SCHEDULE: Sa/Su 10am-830pm **ESSENTIAL FUNCTIONS** **Problem Solving/ Utilization of Critical thinking skills** + Serves as the front line ... Using independent judgment, determines when situations warrant escalation to management , Public Safety or other inter-disciplinary teams. + Independently answer… more
- Molina Healthcare (Yonkers, NY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- Ryder System (Ronkonkoma, NY)
- …as part of your daily routine is crucial. In addition, **YOU** are the management and professional representative of the Ryder organization. If your work ... Fleet Maintenance and Supply Chain Services in the World! **Summary** The Operations Management Trainee will support the shop management process and assist in… more
- CBRE (New York, NY)
- Property Management Engineering Operations Director Job ID 222475 Posted 01-Jul-2025 Service line Advisory Segment Role type Full-time Areas of Interest ... Engineering/Maintenance, Property Management Location(s) New York - New York - United...and approval. Monitor appropriate staffing levels and reports on utilization and deployment of human resources. Lead and support… more
- RTX Corporation (Albany, NY)
- …and integrity + Establishing governance frameworks to ensure effective application lifecycle management + Utilization of the best practices, frameworks and tools ... position is to join our RTX Enterprise Services team:** Application Portfolio Management (APM) Lead within the Digital function, responsible for: + Establishing a… more