- 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
- Northwell Health (New Hyde Park, NY)
- **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and maintenance of drug formularies, ... clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines,...hospital's Formulary and related activities; contributes to the Formulary review process. + Initiates/coordinates MUEs for P&T presentation; discusses… more
- New York State Civil Service (Brooklyn, NY)
- …Agency Mental Health, Office of Title Mental Hygiene Program Evaluation Specialist 3 (NY HELPS), Kingsboro Psychiatric Center, P26689 Occupational Category Health ... Psychiatric Center is currently recruiting a Mental Hygiene Program Evaluation Specialist 3 to join their program evaluation department which is responsible… 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
- Dow Jones (New York, NY)
- …**ABOUT THE ROLE** Reporting to a Client Retention Manager, the Client Engagement Specialist (CES) will manage all renewal aspects of the relationships with a ... made by the Account Executive. As a Client Engagement Specialist , you will liaise with internal Dow Jones' teams,...as retention strategies/ideas + Ensure appropriate levels of product utilization for a defined set of GRI customers by… 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
- 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
- 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
- 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
- Family and Children's Association (Mineola, NY)
- Contract Specialist Location: Garden City, NY | Schedule: Full time 35/hours | Status: Non-Exempt |Salary: $23-29/Hour The Opportunity The Contract Specialist is ... funding sources (local, state and federal government, etc.). The Coordinator will review billing data for accuracy and integrity, monitor contract budgets, and… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least 18 years ... 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 \_25038338) **Job Description:** At Bank of America, we are… more
- Access: Supports For Living (Mount Vernon, NY)
- Clinical Quality Specialist Location: Mt. Vernon, NY, United StatesDate Posted: Oct 24, 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
- Northwell Health (New Hyde Park, NY)
- …Job Responsibility + 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. + Monitors pharmacists activities… 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
- Molina Healthcare (Yonkers, NY)
- …At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal… more