EmploymentCrossing Jobs

Associate Director of Quality, Performance, & Digital Experience - USA-NY-Albany

Sun, 13 Aug 2023 00:00:00 CDT

Description The Associate Director of Quality, Performance, & Digital Experience devises an effective strategy for executing and delivering software quality initiatives with an emphasis on user exper...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-NY-Albany

Tue, 08 Aug 2023 00:00:00 CDT

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authoriz...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-NY-Albany

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

UM Administration Coordinator 2 (Work at Home) - USA-NY-Albany

Tue, 12 Sep 2023 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Patient Care Technician - PCT - USA-NY-Bay Shore

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GS0Available Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Director, Group Market Operations - North - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Opera...

Staff Utilization Management Pharmacist (Contract Position) - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Medical Director - Work at Home - USA-NY-Albany

Wed, 30 Aug 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-NY-Albany

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Albany New York Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

Informatics Analyst (HL7/CDA/XML/SOAP/SQL) - USA-NY-Albany

Mon, 07 Aug 2023 00:00:00 CDT

Title: Informatics Analyst Duration: through 6/30/2023 Location: Albany, NY - Due to hybrid work schedule, candidate will require a secure laptop to access client workstation via VPN access. Job Dutie...

Informatics Analyst (3 yrs Exp) - USA-NY-Albany

Fri, 04 Aug 2023 00:00:00 CDT

Title: Informatics Analyst Location: Albany, NY Candidate must be local or willing to relocate immediately for role, as it will be a Hybrid work schedule. Duration: through 6/30/2023 Job Duties Guide...

Pharmacy Clinical Integration - Senior Technology Implementation Professional - USA-NY-Albany

Thu, 06 Jul 2023 00:00:00 CDT

Description The Senior Technology Implementation Professional manages implementations for new real time benefit connections, and maintains existing vendor connections. This role manages the vendor co...

Business/Informatics Analyst (1 yr in data programming utilizing or SQL) - USA-NY-New York City

Thu, 29 Jun 2023 00:00:00 CDT

Title: Business/Informatics Analyst Duration: through 6/30/23 with poss 1-yr. extension Location: NYC Remote Job Duties: The subcontractor will work with the NYSTEC team to analyze system specific...

Commercial Transactional and Licensing Attorney - USA-NY-New York City

Wed, 13 Mar 2024 00:00:00 CDT

New York City office of a ******* Top Ranked Law Firm seeks a commercial transactional and licensing attorney with 3 years of life sciences transactions and licensing. The candidate will be drafti...

Senior Pre-Authorization Nurse - USA-NY-Albany

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Associate Director, Provider Data Interoperability - USA-NY-New York City

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in New York New York Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient b...

Associate Director, Provider Data Interoperability - USA-NY-Syracuse

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Syracuse New York Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient b...

Associate Director, Provider Data Interoperability - USA-NY-Albany

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Albany New York Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient bus...

FDA Drug/Biologics Regulation Counsel - USA-NY-New York City

Tue, 16 Apr 2024 00:00:00 CDT

Job Title: FDA Drug/Biologics Regulation Counsel

Location: New York City, NY

Overview: Alaw firm is seeking an experienced FDA Drug/Biologics Regulation Counsel with over 10 years of in...