- Catholic Health Services (Melville, NY)
- …communicate and manage project scope; Assist in work plan development and management ; contributes to completion of project status reports. Lead meetings with staff ... planning, organizing, and managing resources) and all phases of the project management life cycle for a variety of initiatives Actively responds to questions… more
- Elevance Health (Norfolk, VA)
- **Grievance/ Appeals Analyst I** **Location: Norfolk, VA | This position is primarily work from home but will require you to work in a local office up to 3 times ... per month** **Schedule: Tuesday-Saturday** The **Grievance/ Appeals Analyst I** is an entry level...to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which… more
- Elevance Health (Denison, TX)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities that require the ... and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to...may serve as a liaison between grievances & and appeals and /or medical management , legal, and/or… more
- MTA (Long Island City, NY)
- Staff Analyst /Associate Transit Management Analyst Job ID: 7099 Business Unit: MABSTOA Location: Long Island City, NY, United States Regular/Temporary: ... Date Posted: May 20, 2024 Description Job Information Staff Analyst / Transit Management Analyst First...& Compliance Reports To: Sr. Director Paratransit SVC Eligibility Appeals Work Location: 3300 Northern Blvd, Long Island City,… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Associate Health Care Management Systems Analyst (NY HELPS) - 60286 Occupational Category Financial, Accounting, ... range of long term care facilities and support services. The Associate Health Care Management Systems Analyst will lead the Operating Rates unit within the… more
- Sacramento County (Sacramento, CA)
- Principal Human Resources Analyst Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4484028) Apply Principal Human Resources Analyst ... Principles and practices of public sector organization, administration, budgeting, management and human resources *Principles and practices of leadership, mentoring,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Quality Management Clinical Analyst 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11964 Monday, May 13, 2024 Quality Management Clinical Analyst ... on a quarterly basis. Provides education to clinical staff regarding risk management and incident reporting. + Medicare expedited appeals . Review case,… more
- State of Colorado (Centennial, CO)
- Digital Investigative Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4510321) Apply Digital Investigative Analyst Salary ... Job Type Full Time Job Number RAA CBI Digital Analyst 5/24 Department Department of Public Safety Division Colorado...workplace. CDPS is an equal opportunity employer. See ourEEOD Utilization Report (2020)Why Do I Love My Job at… more
- City and County of San Francisco (San Francisco, CA)
- …and ensuring intake process and payment is complete. + Vehicle Utilization Management : includes determining vehicle needs and specifications, monitoring ... gather, play, learn, relax, and enjoy nature in the city. About the Asset Management Unit The Asset Management Unit (AMU) is primarily responsible for… more
- Robert Half Management Resources (Monterey Park, CA)
- …Nursing preferred. . Active California LPN/LVN or RN license. . Three (3) years of utilization management experience in a managed care setting. . Two (2) years ... Description We are offering a role for a Compliance Analyst RN based in Monterey Park, California, United States....of clinical nursing experience . Knowledge of utilization management principles and healthcare managed care.… more
- American Red Cross (Omaha, NE)
- …NEED TO KNOW ABOUT THE JOB:The American Red Cross is seeking a Tech Support Analyst based in Omaha, NE. The Tech Support Analyst will install, troubleshoot, and ... repair software and/or equipment. The Tech Support Analyst will solve user's routine to moderately complex problems with network or applications software for… more
- Montrose Memorial Hospital (Montrose, CO)
- …within case management , utilization management or denial management . Experience with business letter writing, eg, appeals , preferred. + Must at ... the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial...Analyst is considered a clinical expert in Denial Management and ensures all medical necessity denials are accurately… more
- City of Lakeland (Lakeland, FL)
- HR Analyst - Policy and Employee/Labor Relations Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4429048) Apply HR Analyst - Policy and ... for carrying out various department assignments and a high level of involvement/ management of several employee programs. A high degree of initiative and independent… more
- Elevance Health (Palo Alto, CA)
- …and appeals process. * Two (2) years of experience with end-to-end utilization management process. * Two (2) years of experience translating use cases, ... **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will...* Identify opportunities to strengthen effectiveness. * Support the management of integrated (business, functional, and technical) requirements and… more
- Nightwing (Sterling, VA)
- …accurate, efficient responses within a specific timeframe. The individual will provide case management support for Privacy, FOIAs, Appeals , and EOM requests. The ... organizational and time management skills. + Must be proficient in computer utilization . + Must have multi-tasking ability. + Must be flexible and adaptable to… more
- American Red Cross (Richmond, VA)
- …uniqueness can shine! WHAT YOU NEED TO KNOW : As a Tech Support Analyst , you will install, troubleshoot, and repair software and/or equipment. Solve user's routine ... systems operations and provide recommendations to improve efficiency and utilization .-Prepare metrics, activity and progress reports regarding projects, tasks, and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …understand regulatory requirements as they pertain to personnel. + Supervises the Quality Management Clinical Analyst and the Quality Management Assistant. + ... Director Quality Management /Compliance Officer 75 Vanderbilt Ave, Staten Island, NY...to obtain quality data. + Oversight of Medicare Expedited appeals and conventional Medicare appeals process. Maintains… more
- City and County of San Francisco (San Francisco, CA)
- …its Managed Care division which oversees the Office of Coordinated Care (OCC), Utilization Management (UM), and Quality Management (QM). Additionally, BHS ... with the Director of Managed Care and with OCC, Utilization Management (UM), and Quality Management...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …and procedures of modern institutional food service operations and management including production, storage, sanitation, equipment utilization , procurement ... years, within the last five (5) years, of verifiable supervisory and/or management experience in food service operations involving planning, preparing and serving… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Quality Management Assistant 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11963 Monday, May 13, 2024 Quality Management Assistant Duties and ... clerical assistance to the QM Director/Compliance Officer and the QM Clinical Analyst such as faxing, copying, scanning and file maintenance. + Medical Record… more