- M&T Bank (Buffalo, NY)
- …Monday-Friday 8AM-5PM (occasional evenings as needed)** **Overview:** The Director of Managed Services Program is a senior enterprise leader responsible ... service capabilities. Acting as the enterprise authority on managed services , this leader partners closely with...the Global Sourcing team on core elements of the Managed Services program , ensuring alignment… more
- Compass Group, North America (Buffalo, NY)
- …responsible for the successful operation of Dining Services . The Director ensures client, customer service /satisfaction with efficient cost effective ... look forward to hearing from you. **Job Summary** **The Director of Dining Services ** is an exciting...cost controls, and presentation + Previous P&L accountability or contract- managed service experience is desirable + Strong… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area ... of policies, programs and strategic objectives that cover Medical Management Services through their required participation in various committees and when assigned… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... and medical review of complex, controversial, or experimental medical services . Supports effective implementation of performance improvement initiatives for… more
- Molina Healthcare (Rochester, NY)
- …ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review ... medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for… more
- Caz Recovery (Buffalo, NY)
- …external audits. Ensures appropriate follow-up and continued improvements are maintained. + Assists Director of Clinical Services and Program Managers to ... as necessary to improve quality and compliance. + Support Director of Clinical Services in hiring program staff as necessary, as well as general oversight of… more
- University of Rochester (Rochester, NY)
- …learning. With minimal direction and general guidance from the from the Director , Offices for Medical Student Education (OME), works independently within the ... and verification paperwork for the School of Medicine and Dentistry MD program . Manages medical school degree verifications, letters, and transcripts for current… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, ... and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by… more
- Rochester Regional Health (Rochester, NY)
- …Ensures compliance with benefit laws and regulations. With guidance from the Director and Vice President, the Benefits Manager develops, recommends and implements ... in class organizations to establish remarkable benefits programs that are managed flawlessly. Crafts innovative benefit solutions that balance cost-containment and… more
- Lactalis American Group Inc. (Buffalo, NY)
- …vendors or alternate materials. + Ensure that purchased materials, suppliers and services are following the company's requirements. + Evaluate and ensure that all ... required. + Identify and execute negotiation cost savings initiatives on category managed by incumbent, and on escalated contracts from team with senior leadership… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care… more
- Valor Health (Lockport, NY)
- …the US Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs ... of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. As a Licensed… more
- University of Rochester (Rochester, NY)
- …of future space needs. Defines scope, preliminary budget estimates and program descriptions for further evaluation and implementation. Acts as owners represent ... variance to original agreed upon terms. Serves as a staff assistant to the Director regarding policy issues on the administration of space annin master lannin , s… more
- Rochester Regional Health (Rochester, NY)
- …algorithm management, utilization management and resource management. Organizes services across the continuum from pre-registration through discharge from ... current information on community resources, third party payors, and managed care environment. Knowledgeable of changing rules/regulations, and policies/procedures.… more
- Valor Health (Lockport, NY)
- …the US Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs ... of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. As a Licensed… more
- Rochester Regional Health (Rochester, NY)
- …and completion of the finalized system changes, and rebilling and/or crediting of services . Report all potential compliance related issues. + Develop and update CDM ... Review and charge services policies and procedures including overall health system, standard,...and report revenue cycle opportunities to the Revenue Cycle Director meeting monthly / annual goals. + Perform ongoing… more