- 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 ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
- Molina Healthcare (Albany, NY)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… 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
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp (CA experience preferred) **PRIMARY PURPOSE** : To process ... physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS… 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
- Molina Healthcare (Albany, NY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- RTX Corporation (Albany, NY)
- …and integrity + Establishing governance frameworks to ensure effective application lifecycle management + Utilization of the best practices, frameworks and tools ... position is to join our RTX Enterprise Services team:** Application Portfolio Management (APM) Lead within the Digital function, responsible for: + Establishing a… more
- Sharecare (Albany, NY)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of… 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
- New York State Civil Service (Latham, NY)
- …and implements key statewide strategic initiatives and goals and oversees asset/boat management and upkeep. Serves as agency representative as directed; ... Executive Officer New York Naval Militia Occupational Category Administrative or General Management Salary Grade NS Bargaining Unit DMNA - Division of Military and… more
- The Arc Otsego (Oneonta, NY)
- …team, problem solving, record keeping procedures, production operations, inventory management , logistics, warehouse operations, labor utilization , equipment ... is secure before departing. - Assist the Warehouse Manager in management /tracking of warehouse inventory, order fulfillment, and transportation scheduling including… more
- DA Collins Companies (Niskayuna, NY)
- …thoroughly and correctly implemented by crews. *Work with Site Safety Representative to develop and maintain project-specific Safety and Health Plans, including ... risk management for High Hazard Tasks (HHT) and High-Risk Work...outside rentals wherever and whenever possible. *Assure proper equipment utilization on site and assure that equipment hours are… more
- Albany Medical Center (Albany, NY)
- …+ Facilitates the utilization of resources to meet patient outcomes (case management ). + Writes letters of medical necessity as indicated + Participates in the ... include the following. Other related duties may be assigned: Support for Self- Management + Enhances health literacy + Performs a baseline comprehensive needs… more
- Sysco (Albany, NY)
- …loading, ensuring safety and security of the warehouse and providing management and direction to assigned warehouse staff. **RESPONSIBILITIES** + Supervises the ... including extra work days and shifts as needed. + Administers the proper utilization of Company assets in support of the warehouse. + Coordinates required repairs… more
- Fresenius Medical Center (Amsterdam, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Schenectady, NY)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… 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 ... workplace. The Workplace Operations Coordinator's core responsibilities include office management , calendar management , meeting coordination, employee experience… more
- CBRE (Albany, NY)
- …for win, keep and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits, and will lead interactions in a client-facing role in ... keep and grow activities in integrated Real Estate and Facilities Management outsourcing pursuits. Identifies opportunities and manages the cultivation, pursuit… more
- General Motors (Albany, NY)
- …systems, CI/CD pipelines, and internal developer platforms + **Program Management :** Has hands-on experience directing cross-functional, highly technical programs ... platform requirements (eg, system performance, reliability, scalability, and resource utilization ) in partnership with engineering teams + Foster a culture… more