- Merck & Co. (Rahway, NJ)
- …supply chain deliverables and prepares, analyses, and/or develops mitigation strategies for review with clinical partners and senior leaders. Works directly in the ... Response (IVR) System-development and User Acceptance Testing (UAT) for assigned studies. Utilization of key technological tools and systems for GCS planning such as… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… 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
- New York State Civil Service (Brooklyn, NY)
- …Agency Mental Health, Office of Title Mental Hygiene Program Evaluation Specialist 3 (NY HELPS), Kingsboro Psychiatric Center, P27263 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)
- Revenue Growth & Field Activation Specialist New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, ... 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
- 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
- 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
- CUNY (New York, NY)
- Comm Broadcast & Multimedia Production Specialist (HEa)- Office of the Dean, School of Arts and Sciences **POSITION DETAILS** The School of Arts & Sciences at Hunter ... We are seeking a Comm Broadcast & Multimedia Production Specialist who will support both the School of Arts...internal and external resources and services and manages their utilization - Performs related duties as assigned. **CUNY TITLE**… 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
- 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
- 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
- Merck (Rahway, NJ)
- …supply chain deliverables and prepares, analyses, and/or develops mitigation strategies for review with clinical partners and senior leaders. + Works directly in the ... (IVR) System development and User Acceptance Testing (UAT) for assigned studies. + Utilization of key technological tools and systems for GCS planning such as SWMS,… 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
- Centene Corporation (Queens, NY)
- …Management Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm ... will spend time in the field while reviewing Intake Specialist work and will actively coach and develop staff...10 codes, medical abbreviations, medications. Experience in medical records review , claims processing or utilization and case… more
- Molina Healthcare (Yonkers, NY)
- …nursing experience in claims auditing, quality assurance, recovery auditing, DRG/clinical validation, utilization review and/or medical claims review , or ... payment integrity. * Performs clinical reviews of medical records and other utilization management documentation to evaluate issues of coding and DRG assignment… 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
