• Physician Utilization Review

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
    Hackensack Meridian Health (08/19/24)
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  • Utilization Review Admission…

    The Mount Sinai Health System (New York, NY)
    …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **JOB DESCRIPTION** ** Utilization Review Admission Specialist ...and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according… more
    The Mount Sinai Health System (09/04/24)
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  • Utilization Insurance Specialist

    The Mount Sinai Health System (New York, NY)
    …approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues Responsible for the maintenance ... of services **RESPONSIBILITIES** Responsible for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric… more
    The Mount Sinai Health System (07/26/24)
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  • Immunization and Medical Exemption…

    City of New York (New York, NY)
    …to increase uptake of COVID-19 and influenza vaccines. With the SCU, the Medical Specialist will be the primary physician responsible for reviewing requests for ... Immunization Infrastructure and Clinical Support Unit and Exemption Medical Specialist will report to the Director of the IICSU...across NYC. Further, this position will be the primary physician in charge of immunization exemption review .… more
    City of New York (07/02/24)
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  • Integrated Case Management Specialist

    Hackensack Meridian Health (Hackensack, NJ)
    …inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors as needed. + ... a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance...discharge dates. + Enters LAD into EPIC. + Keeps Utilization Review RN current on updates needed… more
    Hackensack Meridian Health (08/20/24)
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  • Contact Center Access Specialist

    Hackensack Meridian Health (Edison, NJ)
    …and serve as a leader of positive change. The **Contact Center Access Specialist ** will be responsible for maintaining and updating provider templates across all ... in accordance with guidelines set by the PAC and Physician Enterprise team. Additionally, you will work with PAC...day in the life of a **Contact Center Access Specialist ** at Hackensack Meridian _Health_ includes: + Configure and… more
    Hackensack Meridian Health (09/19/24)
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  • Rheumatology/Gastroenterology Senior Health…

    Pfizer (New York, NY)
    **Gastroenterology & Rheumatology (Portfolio) Senior Health and Science Specialist (SHSS) - Greenville, SC** All over the world, Pfizer colleagues work together to ... to patients that significantly improve their lives. The Senior Heath & Science Specialist (SHSS) is responsible for selling and launching existing and new products,… more
    Pfizer (09/13/24)
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  • Gastroenterology Health & Science…

    Pfizer (New York, NY)
    + The **Gastroenterology** Health & Science Specialist is responsible for launching new products, deciding upon best strategies to manage business relationships, ... Therapeutic Area Specialists and Key Opinion Leaders (KOLs).The Health & Science Specialist should possess customer, market and business acumen combined with strong… more
    Pfizer (09/19/24)
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  • Senior Health and Science Specialist

    Pfizer (New York, NY)
    **What You Will Achieve** The Senior Health & Science Specialist , Rare Cardiac - will have primary responsibility for Kaiser in Northern CA and will target some ... with appropriate customer stakeholders. The Senior Health & Science Specialist (SHSS) will demonstrate strong business acumen and an...in local planning + Act decisively by prioritizing resource utilization to meet customer needs + Provide key HQ… more
    Pfizer (08/29/24)
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  • Grievance and Appeals Specialist , Clinical

    VNS Health (Manhattan, NY)
    …appeal resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more
    VNS Health (09/20/24)
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  • Dermatology Senior Health and Science…

    Pfizer (New York, NY)
    …of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. **NON-STANDARD WORK ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
    Pfizer (09/18/24)
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  • Hospital Business Unit Ig/Surgical Sales Health…

    Pfizer (New York, NY)
    …record of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. + Experience working ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
    Pfizer (09/16/24)
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  • SHSS

    Pfizer (New York, NY)
    The Rare Disease, Senior Health & Science Specialist (SHSS) - Rare Cardiac, will target health care providers (HCPs), spanning multiple disciplines (eg, ... Area Business Manager (ABM). The Senior Health & Science Specialist (SHSS) will demonstrate strong business acumen and an...in local planning + Act decisively by prioritizing resource utilization to meet customer needs + Provide key HQ… more
    Pfizer (09/18/24)
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  • Contact Center Access Strategist

    Hackensack Meridian Health (Edison, NJ)
    …Finally, you will be responsible for prioritizing and balancing template specialist team workload and measuring team performance. This position will offer ... access initiatives. + Responsible for generating and analyzing schedule utilization data. Prioritize and oversee implementation of improvement opportunities across… more
    Hackensack Meridian Health (09/19/24)
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  • Psychologist 1/2 (NY Helps)

    New York State Civil Service (Staten Island, NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... supervision of a doctoral level psychologist, licensed psychologist, licensed physician , licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical… more
    New York State Civil Service (07/12/24)
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