- Molina Healthcare (Buffalo, NY)
- …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
- Molina Healthcare (Buffalo, NY)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and retrospective reviews of claims and appeals and resolves grievances related to medical quality of care, as needed. + Ensures that the medical care ... more
- Molina Healthcare (Buffalo, NY)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- Independent Health (Buffalo, NY)
- …UM pre-service, concurrent and retrospective review , services not currently on medical review as outlined by trend and cost containment activities, and ... more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …for delivery of primary care to patients enrolled at the WNY VA Medical Center at the Community Living Centers. The geriatrician will work in collaboration ... more