Utilization Management Representative jobs in Albany, NY

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HARP Behavioral Clinical Director- Latham, NY
This position is responsible for the oversight of the case management and utilization review of NY HARP BH and substance use disorder:....
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Medical Coder - Latham, NY
Landmark Health - Latham, NY
2+ year experience coding ICD.9 for HCC utilization. Below are the physical requirements which are representative of those that must be met by the employee to...
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Quality Manager
Davis Vision Incorporated - Latham, NY
Demonstrated experience in Quality Management; P rior management experience strongly preferred. Work directly with Compliance, Client Management, clients and...
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Medical Coder - Latham, NY

Landmark Health - Latham, NY 12110
2+ year experience coding ICD.9 for HCC utilization. Below are the physical requirements which are representative of those that must be met by the employee to...

Payer Relations Manager

AngioDynamics Inc. - Latham, NY
CEU program development and management. Skilled in project management, research and data analysis. 7 years of demonstrated experience in health care payer...

Nurse Care Advocate - Latham, NY

Landmark Health - Latham, NY 12110
1-2 years of utilization management experience a must. Case management experience desired. The Nurse Care Advocate (NCA) is responsible, as part of the care...

Representative, CCC

MVP Health Care - 34 reviews - Schenectady, NY 12305
The Customer Care Center Representative will work closely with all other MVP departments, especially Operations, Utilization Management and Professional...

Physician - Latham, NY

Landmark Health - Latham, NY 12110
Works with the Regional Medical Director, Director of Health Services, Health Plan representatives, and UM staff in the development and/or implementation of...

Director of Human Resources

Hudson Valley Community College - 18 reviews - Troy, NY 12180
An earned Master's Degree from an accredited institution in Human Resource Management, Business Administration Management or related field;...
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Member Service Representative

CDPHP - 17 reviews - Albany, NY
The Member Service Representative shall assume full responsibility and ownership for all aspects regarding education of the member, the Employer Groups, Brokers...

Medical Director

New York State Insurance Fund - Albany, NY
Responsible for all medical issues related to clinical care impacts, inclusive of cost drivers, settlement issues, utilization review management and reserve...
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Senior Consultant/Business Analyst/HMS (Albany, NY)

NYSTEC - 3 reviews - Albany, NY
Provides feedback to management on team member performance. Certified Professional in Healthcare Information & Management Systems (CPHIMSS)....

Quality Manager

Davis Vision Incorporated - Latham, NY 12110
Demonstrated experience in Quality Management; P rior management experience strongly preferred. Work directly with Compliance, Client Management, clients and...
Nurse Care Advocate - Latham, NY
Landmark Health - Latham, NY
1-2 years of utilization management experience a must. Case management experience desired. The Nurse Care Advocate (NCA) is responsible, as part of the care...
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