utilization management Jobs - 615
Risk & Quality Performance Manager (Remote)
Molina Healthcare - Buffalo,NY
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and...
Compliance Officer - ALL
Ahtna - Batavia,NY
Summary: A Compliance Officer is responsible for ensuring the detention facility operates within all legal and regulatory standards by monitoring detainee treatment, facility procedures, and staff conduct, investigating...
Facility Director -ALL
Ahtna - Batavia,NY
Summary: The Facility Director is responsible for the overall management and operation of the detention center, overseeing the security, safety, and well-being of detainees, supervising staff, ensuring compliance with legal...
National Contracting Director
Molina Healthcare - Yonkers,NY
Remote and must live in the United States Job Description Job Summary Molina's Provider Contracting function provides guidance, signature...
Denials Manager
WMC Health - Hawthorne,NY
Job Details: Job Summary: The Denials Manager's responsibilities include identifying all denials sent to APS Work queues and review and redistribute them appropriately to the parties who can correct them,...
Director of Operational Excellence
Catholic Health - Melville,NY
Overview: Catholic Health is one of Long Islands finest health and human services agencies. Our health system has over 16,000...
Behavioral Health Services & Support, Internship
MVP Health Care - Rochester,NY
Behavioral Health Services & Support, Internship 220 Alexander St, Rochester, NY 14607, USA • 625 State St, Schenectady, NY 12305, USA Req Thursday, March 6, 2025 At MVP Health Care, our commitment to meeting the needs...
Director of Customer Success
InRhythm - New York,NY
Who Is InRhythm? InRhythm is a leading modern product consultancy and digital innovation firm with a mission to make a dent in the digital economy. Founded in 2002, InRhythm is currently engaged by Fortune 50...
Facility Planner
Catholic Health - Buffalo,NY
Salary: 72,618.00-108,927.00 USD Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Overtime: Exempt:...