Utilization Management Reviewer (RN) - Multiple Positions!
Binghamton, New York
Capital District Physicians Health Plan Inc
Job Description: This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal and external standards set...
17h
| Job Type | Full Time |
Medical Director, Children's Behavioral Health
Dewitt, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. This role supports the HARP line of business....
17h
| Job Type | Full Time |
Latham, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of t...
17h
| Job Type | Full Time |
Strategic & National Account Manager I/II
Utica, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: This position is primarily responsible for the overall management of strategic and national accounts. This includes but is not limited to acting as a strategic advisor to support clients in the decision making proc...
17h
| Job Type | Full Time |
Transition Coordinator (Albany Region)
Buffalo, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comp...
17h
| Job Type | Full Time |
Dewitt, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of t...
17h
| Job Type | Full Time |
Transition Coordinator (Albany Region)
Rochester, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comp...
17h
| Job Type | Full Time |
Commerical Markets Pharmacy Growth & Retention Manager
Utica, New York
Capital District Physicians Health Plan Inc
Job Description: Job Description Summary: This position plays a critical role in advancing the sales pharmacy strategy across Excellus Health Plan. The incumbent is responsible for driving pharmacy growth, client retention, and margin optim...
17h
| Job Type | Full Time |
Camden, New Jersey
Position Details Position Information Recruitment/Posting Title Program Coordinator I Job Category URA-AFT Administrative Department Admissions Undergraduate & Gra Overview Ranked #46 in U.S. News & World Report's list of Best Public Colleg...
17h
| Job Type | Full Time |
Transition Coordinator (Albany Region)
Binghamton, New York
Capital District Physicians Health Plan Inc
Job Description: Summary: The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comp...
17h
| Job Type | Full Time |