- 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
- 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
- WMCHealth (Valhalla, NY)
- …with measurable outcomes related to time-to-fill, retention, and provider satisfaction. + Lead a high-performing team responsible for physician and provider ... Director of Advanced Clinical Recruitment providers strategic leadership for the physician and provider recruitment function across WMCHealth. This role is… more
- Danaher Corporation (Poughkeepsie, NY)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... everything possible. As the Senior Key Account Manager (KAM), you will lead strategic customer relationships across a defined portfolio, driving long-term growth and… more
- WMCHealth (Valhalla, NY)
- …(Deputy CCO), the Director collaborates closely with them to lead and operationalize systemwide compliance initiatives that promote transparency, accountability, ... Director ensures consistent implementation of compliance standards across hospitals, physician practices, and affiliates while partnering with executive, clinical,… more
- Nuvance Health (Poughkeepsie, NY)
- …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading...part of the appeal process. 6. Serves as the lead in obtaining financial and other resources for patients/families… more
- Deloitte (Stamford, CT)
- …practitioners, and Deloitte consultants from complementary disciplines. + You will help lead workstreams within the context of a larger engagement, gathering and ... client stakeholders, implement recommendations, and begin to build long-term trusted advisor relationships with client counterparts. The team Our Industry Solutions… more