- 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
- Molina Healthcare (Albany, 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
- 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
- Molina Healthcare (Albany, 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
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... services provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and… more
- Ryder System (Albany, NY)
- …certifications. Identify and support Automation projects. Regularly interacts with account Management and/or customer(s). + Demonstrate a high level of competency in ... + Proficiency in developing and managing: Leader Standard Work, Visual Management Systems and Management Accountability Systems, Plan-Do-Check-Act (PDCA), Value… more
- DA Collins Companies (Niskayuna, NY)
- …thoroughly and correctly implemented by crews. *Work with Site Safety Representative to develop and maintain project-specific Safety and Health Plans, including ... risk management for High Hazard Tasks (HHT) and High-Risk Work...outside rentals wherever and whenever possible. *Assure proper equipment utilization on site and assure that equipment hours are… more
- Albany Medical Center (Albany, NY)
- …+ Facilitates the utilization of resources to meet patient outcomes (case management ). + Writes letters of medical necessity as indicated + Participates in the ... include the following. Other related duties may be assigned: Support for Self- Management + Enhances health literacy + Performs a baseline comprehensive needs… more
- Fresenius Medical Center (Albany, NY)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Fresenius Medical Center (Amsterdam, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- New York eHealth Collaborative (Albany, NY)
- …healthcare providers statewide, develops policies and standards that support the utilization of health technologies, and assists healthcare providers in adopting and ... workplace. The Workplace Operations Coordinator's core responsibilities include office management , calendar management , meeting coordination, employee experience… more
- CBRE (Albany, NY)
- …for win, keep and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits, and will lead interactions in a client-facing role in ... keep and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits. Identifies opportunities and manages the cultivation, pursuit… more
- CBRE (Albany, NY)
- …all special billings. Handles the preparation of annual budgets, forecasts, management plans, monthly performance reports, and variance reports. Ensures the delivery ... and termination. Effectively recommends same for direct reports to next level management for review and approval. Monitors appropriate staffing levels and reports on… more
- University at Albany (Albany, NY)
- …by the Chief of Police. They manage the department's computerized records management system and are responsible for digital and physical evidence, non-agency ... fostering a positive and productive work environment. Complete performance management feedback and goals timely and per requirements, offering constructive… more
- CDM Smith (Albany, NY)
- …of cloud technologies, including design patterns, planning, configuration, and resource management in Microsoft Azure and other cloud platforms. * Develop DevSecOps ... (AAD), RBAC, IAM configuring role assignments, conditional access, and identity management . * Incorporate security best practices into cloud architecture and ensure… more
- Sharecare (Albany, NY)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an… more