Utilization Manager Jobs in New York
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Search Results - Utilization Manager Jobs in New York
MetroPlusHealth-New York
and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.
• Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care...
4 Corner Resources-New York
and information related to medications.
Collaborate with other healthcare professionals to plan, monitor, review, or evaluate the quality or effectiveness of drugs or drug regimens, providing advice on drug applications or characteristics.
Complete Utilization...
resume-library.com -
MJHS-New York
experience in a health care setting.
• Previous managed care experience preferred.
• Working knowledge of utilization management, case management and complex care philosophies.
• Previous Medicare and Medicaid experience. CCM preferred.
• Proficiency...
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS-New York
guidance to the CMO and VP of Clinical Services and Programs in providing clinical leadership to Gender Affirming Surgery Utilization Management.
• Provide transgender health expertise to the Gender Identity Support Team (GIST), Care Coordination...
appcast.io -
MJHS-New York
or equivalent; college degree preferred
• One year prior managed care experience required
• Prior experience in a health care setting preferred
• Familiarity with utilization management/case management...
Phaxis LLC-New York
including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred...
resume-library.com -
Integrated Resources, Inc-New York
settings.
• Provides Care Coordination through continuum of care.
• Optimizes both the quality of care and the quality of life for the MetroPlusHealth members.
• Coordinate with Utilization Management (UM) department on concurrent and retrospective...
mindmatch.ai -
MJHS-New York
Knowledge of Utilization management processes is required.
• Prior managed care experience is required.
• Working knowledge of Medicare and Medicaid regulations is required.
• Knowledge of current standards of medical practice and healthcare delivery systems...
Pride Health-New York
of services both within and outside networks as appropriate.Includes facilitating discharge from acute setting and alternate settings.
• Provides Care Coordination through continuum of care.
• Coordinate with Utilization Management (UM) department...
mindmatch.ai -
New York
Proven client facing skills including effective presentations & communications.
• Proven organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Strong interpersonal skills, with the ability...
icims.com -
Segal-New York
pharmacy benefit client solutions and plan designs.
§ Create models, tools and approaches to quality assure and measure the effectiveness of PBM and Healthcare company cost and utilization management programs and clinical services.
Qualifications...
mindmatch.ai -
PwC-New York
or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help...
jobvertise.com -
MetroPlusHealth-New York
will drive optimal performance on quality, risk adjustment, utilization management, financial performance, and membership growth. This team will also serve as the one-stop “Quarterback” for the highest profile groups, including coordinating Quarterly Business...
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