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22

Utilization Management Process Improvement Lead Jobs in New York





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Job info
 
Company
**********
Location
Albany, NY
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Clinical Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Clinical Pharmacy Lead works on problems of diverse ... is responsible for client cost management and..

 
Company
Location
Albany, NY
Posted Date
Sep 15, 2021
Info Source
Employer  - Full-Time  90  

... Understand and engage in risk management procedures such as identifying, coordinating, ... standards; Participate in all quality improvement procedures and adhere to quality ... procedures and adhere to quality..

 
Company
Location
New York City, NY
Posted Date
Dec 27, 2021
Info Source
Employer  - Full-Time  90  

... and values. Links the quality management activities to business goals. Proactively ... influence business strategies. Responsible for management of a variety of quality ... of a variety of quality..

 
Company
**********
Location
Mineola, NY
Posted Date
Oct 17, 2021
Info Source
Employer  - Full-Time  90  

... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..

 
Company
Location
Albany, NY
Posted Date
Sep 20, 2021
Info Source
Employer  - Full-Time  90  

... development and implementation of quality improvement interventions and audits and assists ... of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical and..

 
Company
**********
Location
Oswego, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..

 
Company
**********
Location
Albany, NY
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

... meetings with Humana's CEO and management team and frequently deliver strategy ... role is modeled after top-tier management consultant experience. As such, day-to-day ... lines of business to reduce..

 
Company
**********
Location
Albany, NY
Posted Date
May 01, 2021
Info Source
Employer  - Full-Time  90  

... Ensures accuracy of formularies and utilization management (UM) criteria in the Formulary ... and Therapeutics Committee and Drug Utilization Review team meetings Collaborates with ... an expert in Humana's..

 
Company
**********
Location
New York City, NY
Posted Date
May 30, 2023
Info Source
Employer  - Full-Time  90  

... a week.***nnAbout the Opportunity:nntSpecialty: Case Management / Utilization ReviewntSchedule: Monday to FridayntPatient Population: ... clinical guidelines, and overall workflow improvement strategiesntConducting both standard regulatory auditsntMonitoring ... the rest of..

 
Company
**********
Location
Albany, NY
Posted Date
Nov 20, 2021
Info Source
Employer  - Full-Time  90  

... leader on LTC population health management and the integrated health model, ... through the Peer 2 Peer process, and in some instances these ... health, or disease or care..

 
Company
**********
Location
Albany, NY
Posted Date
May 26, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business ... various analytical organizations you will lead the clinical review and development ... indicators. Secondly, this role will lead the..

 
Company
**********
Location
Liverpool, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
**********
Location
Brooklyn Heights, NY
Posted Date
May 28, 2023
Info Source
Employer  - Full-Time  90  

... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 29, 2022
Info Source
Employer  - Full-Time  90  

Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial ... Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse ... are developed. Leads..

 
Company
**********
Location
Albany, NY
Posted Date
Dec 16, 2021
Info Source
Employer  - Full-Time  90  

... of the Clinical Drug Policy Management team which ensures synchronization of ... which ensures synchronization of formulary utilization management policies across multiple systems. Humana ... Active, unrestricted pharmacy licensure..

 
Company
Location
Albany, NY
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... Nurse: Serves as a team lead and subject matter expert (SME) ... CarePlus departments Leads implementation of process improvement initiatives based on data analysis ... Reviews inventory reports and..

 
Company
**********
Location
Hauppauge, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
Location
Albany, NY
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

... education opportunities to drive maximum utilization of available resources, and directing ... problems within department(s), and could lead multiple managers or highly specialized ... highly specialized professional associates. Responsibilities..

 
Company
**********
Location
Albany, NY
Posted Date
Oct 01, 2022
Info Source
Employer  - Full-Time  90  

... performance support, mobile learning and process documents. Plans, organizes, and collaborates ... proficiency testing, and job performance improvement. Makes decisions on moderately complex ... any field Minimum 1 year..

 
Job title
GRANTED JOB
Location
New York City, NY
Posted Date
Oct 25, 2021
Info Source
Employer  - Full-Time  90  

... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..

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