Utilization Manager Jobs in New York
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Search Results - Utilization Manager Jobs in New York
Medix™-New York
Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies
• Facilitate improvement of the payment transaction process by interacting with providers...
mindmatch.ai -
Phaxis LLC-New York
including Word, Excel or Access Required
Utilization Management experience Preferred
Health care background Preferred...
resume-library.com -
Tandym Group-New York
bodies, and partner organizations
• Collaborating with Claims Operations, Utilization Management, and Network Management to set up provider reimbursement and pricing methodologies
• Improving the payment transaction process through interactions...
mindmatch.ai -
Monte Nido & Affiliates, LLC-New York
Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling a healthy...
Innova Solutions-New York
Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
• For this role, the person needs to have extensive knowledge of provider contracts (not from legal or contracts) on the IT side/contract...
mindmatch.ai -
VNS Health-New York
with health plan clients, understanding their unique needs, and ensuring high levels of satisfaction and value delivery.
• Participating in the business development process to expand the network of health plan clients
• Developing utilization management...
appcast.io -
Integrated Resources, Inc-New York
with Utilization Management (UM) department on concurrent and retrospective review.
Follow up with assigned nurses for clinical updates to care plan.
Document within two business day s coordination notes and routine contacts with the members according...
resume-library.com -
VNS Health-New York
and procedures in collaboration with other Health Plans departments and updates provider materials accordingly.
• Works with Quality, Care Management and Utilization Management Department to ensure quality assurance monitoring of network providers...
appcast.io -
New York
client facing skills including effective presentations & communications.
• Proven organization and ability to work with others.
• Experience in resource deployment and utilization management.
• Successfully operates in a fast-paced driven environment...
icims.com -
PwC-New York
areas:
Possessing some working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality...
jobvertise.com -
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