- 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 ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… 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
- 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
- St. Mary's Healthcare (Amsterdam, NY)
- …referral the patient has presented. Schedules requested exams to maximize equipment utilization by time and location, review open slots and manage waitlist within ... insurance knowledge specific to complex scheduling needs and authorization management required. Medical terminology preferred but not required. Certifications /… 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
- Sysco (Clifton Park, NY)
- …to, strategic overview and implementation of projects, expense and revenue management , compliance with government regulations, management and direction to ... supervisors, routing personnel and other associates. + Ensure that management staff is effectively managing the day to day...as needed. + Oversee the proper selection, purchase, and utilization of company assets in support of the Delivery… more
- Albany Medical Center (Albany, NY)
- …to support the laboratory staff in daily operations. Develop and utilize management reports (workload, utilization , etc.) Establish departmental controls that ... the absence of the Laboratory Supervisor. Other critical aspects include project management , management of supplies and resources, scheduling, oversight of… more
- Albany Medical Center (Albany, NY)
- …short- and long-term goals and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and effective management ... in nursing, involving perioperative and/or procedural services + Demonstrated progressive management experience, minimum 3-5 years Skills, Knowledge & Abilities: +… more
- GCG (Albany, NY)
- …Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to ... Business Partners to support talent reviews, succession planning, and performance management , while managing and facilitating key development programs. You will… more
- Pacific Northwest National Laboratory (Albany, NY)
- …electricity delivery infrastructure; research, development, validation, and effective utilization of renewable energy and efficiency technologies that improve ... system; and resolving complex issues in nuclear science, energy, and environmental management . The Energy Processes and Materials Division, part of the Energy and… more
- Sysco (Clifton Park, NY)
- …ensuring safety and security of night warehouse operations and providing management and direction to the night warehouse staff. **RESPONSIBILITIES** + Manages ... days and shifts as needed. + Handles the proper utilization of Company assets in support of the warehouse....+ Identifies problems, proposes solutions to other members of management and promotes cooperation with other departments. + Conducts… more
- Highmark Health (Albany, NY)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Pfizer (Albany, NY)
- …Hemophilia Account Specialist (HAS) is the lead commercial customer-facing representative for Pfizer's Hemophilia Portfolio to Clinicians, Healthcare Providers and ... team, to address customer educational needs and facilitate the appropriate utilization of Pfizer's innovative therapies for the hemophilia population. Pfizer's… more
- Ryder System (Albany, NY)
- …vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled properly according to the ... is not available. Participates with Claim Manager in the selection and management of outside vendors for investigation, cost containment, audit functions, expert… more
- ASM Research, An Accenture Federal Services Company (Albany, NY)
- …tools used for data and application integration, transformation, and management . This role involves troubleshooting issues, ensuring performance, and maintaining ... on optimizing the performance of the Informatica server, including memory management , query performance, and job throughput. + Identify, troubleshoot, and resolve… more
- ASM Research, An Accenture Federal Services Company (Albany, NY)
- …as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize ... limited to software distribution, backups, performance measurement, tuning, license and asset management to allow automated as well as remote systems management … more
- CVS Health (Albany, NY)
- …resources provided by the customer on lifestyle change, including weight management , quitting tobacco, stress reduction, nutrition and increasing physical activity. ... accounts, tool usage, and available programs and resources such as care management . + Creates an emotional connection with members by understanding and engaging… more
- Centrotherm (Waterford, NY)
- …machine availability. + Support and ensure manufacturing compliance to the Quality management system, ensuring all appropriate records are maintained. + Identify and ... by analyzing the layout of equipment, workflow, assembly methods, and workforce utilization . + Determines parts and tools needed to achieve manufacturing goals… more
- Evolent (Albany, NY)
- …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… 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 ... support across all applicable departments. The primary focus will be contracts management , research, committee meeting support and other support duties as assigned.… more