- Centene Corporation (New York, NY)
- …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent review, and retrospective clinical review team and ensures… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …transform healthcare and serve as a leader of positive change. The ** Utilization Management Coordinator** utilizes clinical knowledge and understanding of ... patient caseload. Collaborates with the attending LIP, Clinical Case Manager , nurse, and other members of the treatment team,...level of care setting for continued treatment. Employs the utilization management process to assist in setting… more
- Bausch + Lomb (Bridgewater, NJ)
- …Field Reimbursement Manager teams is a plus. + Familiarity with utilization management practices across Pharmacy and Medical Benefit products. + Strong ... the advancement of eye health in the future. **Overview** The **Senior Manager , Payer Marketing** role supports the market access strategic marketing efforts for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. + Keeps… more
- Wolters Kluwer (New York, NY)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... (see locations listed on the posting) **OVERVIEW** The Customer Success Engagement Manager plays a high-impact role in managing strategy and product utilization… more
- Atlantic Health System (Morristown, NJ)
- …SNF, ED transfers, and avoidable acute escalations. + Collaborate with ACO and utilization management teams to support appropriate PAC placement, avoid over- ... Atlantic Health System (AHS) is seeking a Manager of Care Coordination within the Integrated Care...background in care coordination, transitions of care, post-acute care, utilization management , and population health preferred. At… more
- American Dream (East Rutherford, NJ)
- …@americandream_official (https://www.tiktok.com/@americandream\_official) . Key Objective(s): The Arena Manager is responsible for leading the business operations ... on driving Net Operating Income (NOI) growth. In addition, the Arena Manager oversees staff performance and guest services to ensure consistently exceptional… more
- Neuberger Berman (New York, NY)
- We're seeking a Senior Product Manager to lead the Enterprise Data Management (EDM) User Success & Enablement team-a firmwide function that drives user success, ... + Collaborate across domains to understand business problems and optimize data utilization . **Qualifications** + 8-12+ years in product management , consulting,… more
- JPMorgan Chase (New York, NY)
- …Global Fixed Income, Currency and Commodities team (GFICC) at JP Morgan Asset Management is one of the world's deepest and best-resourced fixed income managers, with ... and proactive sales approach. As a senior Municipal Portfolio Manager on our Fund and ETF team, you will...source, evaluate, negotiate and execute bespoke deals. + Manage utilization of municipal leverage across strategies. + Blend internal… more
- City of New York (New York, NY)
- …with Facilities Management , Leasing, and Workplace Services teams on space management and utilization initiatives, and review opportunities to optimize and ... and consists of six distinct units: Portfolio Planning and Management (PPM), Leasing, Design & Project Management ...a Space Analyst to fulfill the functions of Space Manager . The Space Manager is responsible for… more
- Northwell Health (New Hyde Park, NY)
- …Pharmacy benefit manager , or health plans + Experience in formulary management , P&T committee support, and/or utilization management (PA, ST, ... for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy… more
- American Express (New York, NY)
- …+ Leads Program Increment (PI) planning meetings with senior leadership, product management , and delivery teams to ensure strategic alignment and readiness + Mentors ... of features for future PI planning sessions + Develops risk management plans, conducts regular risk assessments, and implements mitigation strategies to… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... Overview The Appeals Manager is responsible to assist in the analysis...avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Clinical Category Manager provides on-going oversight and analysis of clinical products and services. Will review usage ... for assigned categories are being achieved. Conducts on-going reviews of utilization trends including usage off-sets from competitive vendors where product… more
- CBRE (New York, NY)
- …aligns workplace solutions with business goals, and provides leadership in the management of space allocation, utilization , and forecasting. The Occupancy ... Occupancy Planning Manager Job ID 250430 Posted 04-Dec-2025 Service line...GWS Segment Role type Full-time Areas of Interest Facilities Management Location(s) New York City - New York -… more
- ZOLL Medical Corporation (Cranford, NJ)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
- Amgen (New York, NY)
- …transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account ... Manager will report into a Cardiovascular Account Director. Their...targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales… more
- Colliers Engineering & Design (New York, NY)
- … to lead our Civil/Site team in New York City! The Department Manager is responsible for the professional, technical, management , marketing, administrative and ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more