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16 Jobs in New York City, NY

  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    New York City, New York
    ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ... will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ...
  • Behavioral Health Care Manager II

    NEW YORK, New York
    ... effective use of health benefits and community resources. Will serve as a resource to other BH Care ... Location: This position will work a hybrid model (remote and office). The ideal candidate will live ...
  • Provider Contract Cost of Care Analyst

    NEW YORK, New York
    ... Provider Contract Cost of Care Analyst Location: This position will work a hybrid ... of Care Analyst** is responsible for providing analytical support to the Cost of Care and/or ...
  • Provider Contract/Cost of Care Consultant Senior

    New York City, New York
    ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ... drivers and support initiative design for remediation. The **Provider/Cost of Care Consultant Senior ...
  • Business Analyst II

    New York City, New York
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... Business Analyst II **Supports the Carelon Medical Benefits Management line of business ...
  • National Medical Director - Total Cost of Care, Post Acute

    NEW YORK, New York
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor ...
  • LTSS Service Coordinator - RN Telehealth (Remote)

    NEW YORK, New York
    ... plan to meet the member's needs, with the goal of optimizing member health care across the care ... cost effective and efficient utilization of health benefits. Obtains a thorough and accurate ...
  • Wound Care UM RN

    NEW YORK, New York
    ... Wound Care UM RN Location: Remote, within 50 miles of a pulse point ... the advancement of care for the people we serve. The Wound Care UM RN is responsible for ...
  • National Medical Director - Physiatry, Post Acute Solutions

    NEW YORK, New York
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ...
  • National Solution Medical Director - Surgery

    NEW YORK, New York
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ...
  • Financial Consultant Lead/Manager

    New York City, New York
    ... Consultant Manager** is responsible for leading the process of preparation and interpretation of complex ... preferred. Health Care Industry experience a plus. Strong knowledge of internal business ...
  • Managed Care Coordinator Clinician Non RN

    NEW YORK, New York
    ... Managed Care Coordinator Clinician Non RN Location: Remote, within 50 miles of an ... , member and the health care team, to ensure cost effective and efficient utilization of health benefits ...
  • LTSS Service Coordinator - RN Telehealth

    NEW YORK, New York
    ... , evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member ... disabilities, to insure cost effective and efficient utilization of health benefits. Obtains a thorough ...
  • Medical Oncology Medical Director - Utilization Review

    New York City, New York
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... guidelines and accepted standards of oncology care. Document the pre-certification review in a complete ...
  • Field Based Behavioral Health Case Manager II- New York

    NEW YORK, New York
    ... . · Monitors and evaluates effectiveness of care plan and modifies plan as needed. · Supports member access to appropriate quality and cost-effective care. · Coordinates with internal ...
  • Associate Medical Director - Interventional Pain

    New York, New York
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... ** Interventional Pain Benefit Review Location : This position will work a hybrid model (remote and ...
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