- Hunterdon Health Care System (Flemington, NJ)
- This is an in-person role. Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
- Deloitte (Morristown, NJ)
- …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
- Terumo Medical Corporation (Somerset, NJ)
- …field inventory-based modes, to include loaners, consignment, trunk stock. Field Inventory Specialist will ensure effective utilization of assets and compliance ... Field Inventory Specialist Date: Nov 21, 2025 Req ID: 4839...losses from expiry and maximize ROI, as well as review operational processes and data to identify opportunities for… 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
- 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
- Cushman & Wakefield (Trenton, NJ)
- **Job Title** Procurement Specialist **Job Description Summary** Under the direction of the Procurement Leadership, this role will assist in all aspects of ... overall vendor management on the assigned client accounts. The Procurement Specialist is expected to have Procurement, Strategic Sourcing, Contracting and Analytical… 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
- Datavant (Trenton, NJ)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- The Brattle Group (New York, NY)
- …held, global economics consulting firm, is looking for a **Senior Practice Development Specialist ** to join our **Boston, MA, New York, NY, San Francisco, CA, ... Chicago, IL, or Washington DC** office. The Senior Practice Development Specialist is a key thought partner for the leaders of our Management Groups in advancing… more
- Sedgwick (Trenton, NJ)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC)… 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
- CVS Health (Trenton, NJ)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- World Insurance Associates, LLC. (Iselin, NJ)
- …strategy meetings with client advisors and account executives + Promote utilization of strategic Trading Partners critical to maintaining secure and dependable ... commercial insurance program designs to the Client Advisor and/or Account Executive after review with senior staff + Assist with the preparation of submissions and… more
- Evolent (Trenton, NJ)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- MetLife (Bridgewater, NJ)
- …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
- 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)
- …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