• Medical Claim Review

    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 (01/25/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Appeals Nurse (RN): Texas and New…

    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
    Molina Healthcare (02/09/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director, Children's Services…

    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
    Excellus BlueCross BlueShield (02/19/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director (Marketplace)

    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
    Molina Healthcare (02/06/25)
    - Save Job - Related Jobs - Block Source
  • Program Manager - Utilization Management

    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
    Independent Health (12/14/24)
    - Save Job - Related Jobs - Block Source
  • Physician - Geriatrician

    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
    Veterans Affairs, Veterans Health Administration (01/31/25)
    - Save Job - Related Jobs - Block Source