- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SPECIALIST (SOFTWARE) CIVIL SERVICE TITLE, Work Location: 375 Pearl Street New York, NY The Department ... coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations.… 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
- CUNY (New York, NY)
- Room Reservations and Events Specialist **POSITION DETAILS** The Graduate Center (GC) is the focal point for advanced teaching and research at the City University of ... life. The GC seeks a Room Reservation and Events Specialist who will report to the Vice President of...on the strategic assignment of meeting space to maximize utilization . + Sends initial confirmations in connection with bookings… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based ... healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended claim review ,… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;Jersey City, New Jersey; New York, New York **Job Description:** At Bank of ... accomplished by providing an independent perspective on the effective utilization of Bank of America's Capital resources and ensuring...8 lines of business and legal entities, including the review and challenge of Board and Management Level Risk… more
- Actalent (Bronx, NY)
- Immediately Hiring a Claims Specialist ! The Claims Specialist will support department operations related to provider communication, pended claim review , ... with all applicable State, Federal, and contractual guidelines. Job Responsibilities: + Review and investigate claims to be adjudicated by the Third Party… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The incumbent serves as a Supervisory Medical Administrative Specialist located in Health Administration Service (HAS), the position has both the authority ... VIC, HINQ, HEC, VIS, VATAS, KIOSK system, etc. Resources/Equipment/Space Utilization Program Planning: Incumbent analyzes the necessary human resources, equipment… more
- CUNY (New York, NY)
- Academic Student Support Program Specialist (Multiple Positions) **POSITION DETAILS** The Academic Student Support Program Specialists in the Office of Academic and ... of faculty, staff, and other service providers to monitor and assess utilization , student progress, and program effectiveness - Performs related duties as assigned.… more
- City of New York (New York, NY)
- …- Create professional specifications that detail the scope of work - Review any in-progress items, technical specifications, and offer modifications and improvements ... projects and deadlines while maintaining milestone deliveries - Visit field sites to review building details and other field conditions that will affect the way… more
- TYLin (New York, NY)
- …in coordination with relevant agencies. + Support Disadvantaged Business Enterprise (DBE) utilization plans and compliance. + Review insurance documentation and ... from design and construction to insurance and contingencies. + Develop, manage, review , and evaluate applications for payment. + Analyze, evaluate, and process all… more
- Atlantic Health System (Pompton Plains, NJ)
- Responsible for the utilization of invasive cardio vascular procedures as necessary and performs under the direct supervision of cardiologists and radiologists. ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
- New York State Civil Service (Monroe, NY)
- …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc.Psychologist 2:You ... psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or… more
- City of New York (New York, NY)
- …and system concerns and issues to the Assistant Program Manager to ensure effective utilization of resources. - Review and audit selected records of two to ... Job Description YOU MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST (ABOS) TITLE. The Department of Social Services (DSS) is comprised of the… more
- Molina Healthcare (Yonkers, NY)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… 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
- Molina Healthcare (Yonkers, NY)
- …assurance, or recovery auditing, ideally in a DRG/ Clinical Validation * 3+ years of Utilization Review and/or Medical Claims Review experience. * 3+ years ... audit letters, train team members. * Manage medical claim review team nurses, ensure operational goals are meet and...Active, unrestricted State Registered Nursing (RN) and Certified Coding Specialist (CCS) or (CIC) License in good standing and… 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
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Managers of Information Systems and staff in the development and successful utilization of DP&I managed systems. + Collaborates with clinical/operational leaders in ... Supports and provides input into the work of Associate Analysts, Application Specialist I and II on specific project/initiative implementation. + Evaluates and makes… more
- STG International (New York, NY)
- …and wellness challenges). * Where applicable, manage Assistant Manager and/or Specialist staff including site schedules. Designate operational tasks as needed. ... as applicable, based on FOH guidance. * Where applicable, develop, review , and present accurate and complete fitness-related materials including newsletters,… more