Milliman jobs in New York, NY

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RN, (UAS Assessor), Queens/Nassau
Uses effective standards of review, service determination, resource management, education and related interventions to promote improved quality of care...
Case Management Nurse
* Conducts care management reviews effectively and takes appropriate action for all deviations that do not meet criteria/or without justification.
Easily apply
Sr. Care Manager
Magellan Health - 505 reviews - Brooklyn, NY 11201
As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities...

Actuarial Analyst - Entry Level

Milliman - 46 reviews - New York, NY 10119 (Chelsea area)
Assist in construction, validation, documentation and delivery of financial forecasting models using various platforms, such as excel, VB.net, python, and...

Research Analyst

Milliman - 46 reviews - New York, NY 10119 (Chelsea area)
Typical projects include (1) compiling and preparing large datasets on property-casualty claims for data analytics and (2) developing and testing statistical...

Consultant

Milliman - 46 reviews - New York, NY 10119 (Chelsea area)
Knowledge of and experience with all aspects of the marketplace including plan design, pricing, benchmarking, financial management/analysis including...

CARE TRANSITIONS CLINIC COORDINATOR

Montefiore Medical Center - 792 reviews - Bronx, NY
S/he will review medical records in our electronic system, complete concurrent and/or retrospective reviews in the system and electronically or...

Vice President, Clinical Operations-Long Term Managed Care

VISITING NURSE SERVICE OF NEW YORK - 205 reviews - Manhattan, NY
On any given day, VNSNY CHOICE coordinates care for more than 40,000 members through its array of Medicare and Medicaid health plans, including Medicaid Long...

Certified Case Manager

Bronx Lebanon Hospital - Bronx, NY
Makes appropriate referrals for Skilled Nursing Facilities, Home Care, Durable Medical Equipment and other required apparatus as needed to safely transition...
Easily apply

Field-Based High Risk Care Manager - Bronx

Fidelis Care - 233 reviews - Bronx, NY 10460 (South Bronx area)   +1 location
The Care Manager - High Risk will be responsible for evaluating members risk adjustment, gaps in care, medication reconciliation, developing and updating an...

VP, Health Services

Magellan Health - 505 reviews - New York, NY 10006 (Financial District area)   +1 location
Experience with writing and implementing program level policy and procedures required., Track record of strong clinical utilization and care program...

Case Management Nurse

Interfaith Medical Center - 80 reviews - Brooklyn, NY
* Conducts care management reviews effectively and takes appropriate action for all deviations that do not meet criteria/or without justification.
Easily apply

RN Care Manager, Special Needs Program

VISITING NURSE SERVICE OF NEW YORK - 205 reviews - Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Improves clinical and cost-effective outcomes by reducing hospital admission and emergency department visits for members enrolled in VNSNY CHOICE Medicare...
VP, Health Services
Magellan Health - 505 reviews - Brooklyn, NY 11201
Experience with writing and implementing program level policy and procedures required., Track record of strong clinical utilization and care program...