- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- 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
- Deloitte (New York, NY)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Justworks (New York, NY)
- GTM Field Activation Specialist New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... right in. Who You Are As a Field Activation Specialist , you will drive the execution of strategic go-to-market...and adoption of new strategies. + Tool and AI Utilization : Act as a subject matter expert on core… more
- CUNY (New York, NY)
- Finance Accounts Payable Specialist , FPCM (2 Vacancies) **POSITION DETAILS** The City University of New York's Department of Facilities Planning, Construction, and ... Reporting to the Facilities Budget Accounts Manager, the Finance Accounts Payable Specialist supports the department's financial operations by performing a range of… 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
- Bloomberg (New York, NY)
- Senior Benefits Specialist (Retirement, Leaves & Disability) Location New York Business Area Human Resources Ref # 10047321 **Description & Requirements** The energy ... have an exciting opportunity for a dynamic Senior Benefits Specialist to join our Americas Benefits team. This role...and other complex benefits matters * Analyze plan performance, utilization trends, and benchmarking data to drive plan design… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25005709-2) **Job Description:** At Bank of America, we are… more
- Citigroup (New York, NY)
- … utilization of Software-as-a-Service (SaaS) solutions across content development, review , and delivery processes. + Appropriately assess risk when business ... energetic and maintain a good sense of humor. Vice President, Content Delivery Specialist , Creative and Media Services (C13) **Job** **Summary** If you have a… more
- Access: Supports For Living (Mount Vernon, NY)
- Clinical Quality Specialist Location: Mt. Vernon, NY, United StatesDate Posted: Nov 21, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: Mt. ... and paper, and ensures follow through to close audit. + Conducts Utilization Reviews, electronically and paper, and ensure follow through. + Collaborates with… more
- MVP Health Care (Tarrytown, NY)
- …+ Assist with data entry, reporting, and tracking patient transitions and utilization metrics. + Review documentation for completeness ensuring compliance (eg: ... To achieve this, we're looking for an **Associate, Post-Acute Clinical Support Specialist ** to join #TeamMVP. If you have a passion for enhancing patient… more
- Abbott (New York, NY)
- …certified on EP products. + Requires a minimum of 6 months in Clinical Specialist position. + Minimum of 2 years clinical experience (internal or external with ... + Achieves or exceeds expectations in most recent performance review . + Requires an average of 15+ cases a...over last 6 months). + Demonstrate ability to increase utilization of Abbott Advanced Mapping and Ablation Tools. +… more
- Northwell Health (Manhasset, NY)
- …and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and ... Therapeutics Committee; monitors medication utilization effectively and intervenes when necessary to ensure compliance. + Ensures the safe and effective use of… more
- Brookfield Properties (Bronx, NY)
- …all verifications, certifications, and affidavits. Verify all income and assets, review documents for completeness and accuracy and clarify information, if ... income from assets. Submit the file to Compliance for review . Ensure corrections are made timely and that the...Oversees and ensures timely input, proper use and full utilization of on-site PC-based property management software systems including… more
- MetLife (New York, NY)
- …strategically analyze customer data (eligible, participant, engagement, lapse, utilization ) to develop enrollment/communications strategies to drive employee ... internal organizations, including; Sales, Product COE, Distribution Development, Voluntary Specialist Director, and Marketing, to provide day-to-day support of… 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 services and supports ... medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies… 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
- 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
- City of New York (New York, NY)
- …required; make professional recommendations accordingly. - Keep abreast of medical and utilization review techniques and developments relative to the nursing ... Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for… more