Utilization management jobs in North Bergen, New Jersey - Page 11Create job alerts

Manage the supervision of clinical Utilization Management (UM) staff. Knowledge of Utilization Management, HMO operations, and work processes. Knowledge of clinical medical practice, hospital and ALC procedures, government regulations, Utilization Management criteria sufficient to make judgments and

The Director of Utilization Management is a strategic clinical operations leader responsible for delivering operational oversight for Utilization Management (UM) teams. Director Of Utilization Management. Progressive leadership experience in healthcare management including work experience in a mid-s

Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective. Ensures all records/logs related to decision requests, Notices of Actio

Care Management, Care Coordinator, Utilization Management. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice st

Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the s

Identify gaps in system functionality and work with product management to enhance our products.

Apply HDR's project management and QA/QC processes. Support general program management contracts for toll-related work elements including design reviews, operations, project production, and delivery. Keywords: Toll, Tolling, Consulting, Consultant, Back Office, Reporting, Business Rules, Operations,

Reporting to the Quality Assurance Division (QAD), Manager of Structural Integrity and under the direct supervision of the Assistant Manager of Structural Integrity, the selected candidate will serve as a Task Leader in the QAD Structural Integrity Unit, providing technical support to the unit's Pro

Familiarity with product management tools such as RTC, RQM, Jira, HP ALM, and Rally.

Track and follow-up on the implementation ofmanagement'saction plans to address identified control gaps/deficiencies. Draft high impact audit reports for executive managementin power point,utilizinghigh quality data visual skills. Good project management and organization skills; ability to multitask

Dedicated to serving local communities, we are engineers, planners, technical experts, strategic advisors and construction management professionals. You will work closely with cross functional teams to ensure the efficient and secure operation of the IIQ platform, supporting our organization's ident

Since spinning out of a large brokerage firm in 2016, DV Trading has rapidly scaled as an independent proprietary trading firm utilizing its own capital, trading strategies, and risk management methodologies to provide liquidity to worldwide financial markets and hedging opportunities to commodity p

Strong understanding of performance and calculations such as TWR, IRR, Total Return, Standard Deviation, Yield, Duration, Beta, Alpha.At least 5 years of direct experience in performance reporting and/or attribution analysis.Strong knowledge of SS&C Advent Moxy and SS&C Advent APX.Maintain accurate

Lead, strengthen and co-ordinate Continuous Improvement Process (CIP), challenging processes existing within all functions here at PNY in accordance with Continuous Improvement Process Strategy defined by PNY Management and best practices at the Company.

Record problems and issues in accordance with the project's problem and issue management plans.

Prior experience working for a management consulting firm or part of a corporate strategy team with experience partnering with other teams and leaders to support the development and communication of their strategy. DISCO provides a cloud-native, artificial intelligence-powered legal solution that si

Wall Street - New York, NY 10005 US (Primary).ATANE Engineers is seeking a skilled Bridge Load Rating Engineer to join our team.In this role, you will perform bridge load ratings, structural design, and other evaluations to determine live load capacities based on As-Inspected conditions.Your work wi

We are offering an exciting opportunity for a Load Rating Engineer to join our New York City team.H&H is currently growing the bridge inspection services to support client and project needs in the Structural/Transportation focus areas.This candidate will work with a team to provide bridge inspection

Load Rating Engineer on major projects.Perform Level 1 and Level 2 load rating calculations pertaining to and in support of bridge inspection findings.Work closely with a team to manage load rating reports.Provide mentoring and training to junior staff.A minimum of five years of Structural Engineeri

The Business Analyst II will join Wadsworth Centers Laboratory Information Management System (CLIMS) team to bridge the gap between physical processes of the laboratory and the software components needed to support the evolving laboratory workflows. The Business Analyst II will be responsible for ov

Operational Program Management:. Equipment & Inventory Management:. Promote efficient utilization of respiratory equipment to support patient care.

Operational Program Management:. Equipment & Inventory Management:. Promote efficient utilization of respiratory equipment to support patient care.

We specialize in environmental, resilience, and sustainability and energy solutions, as well as technical and data solutions, program management, and critical infrastructure.

Ideal candidate must have a clear understanding of the life cycle of a media campaign, excellent organization skills, and experience in data management. Strong organizational and time management skills.

Ideal candidate must have a clear understanding of the life cycle of a media campaign, excellent organization skills, and experience in data management. Strong organizational and time management skills.

Strong organizational and time management skills. Ideal candidate must have a clear understanding of the life cycle of a media campaign, excellent organization skills, and experience in data management.

Execute Quality Management System principles and processes. Working knowledge of Quality System Management per AS9100.

Lead customer audits, Perform product/process and internal audits.Investigate root cause/corrective actions for internal rejections and escapes to customer.Contract review, source and customer liaison.Review of customer and Kulite specifications for compliance.General correspondence with customers.F

Train and uplevel the Account Management organization on the value proposition and product capabilities of Navan Expense to help drive usage and revenue from existing customers. Navan Expense is an expense and corporate card solution that eliminates the hassles of expense management while giving fin

Develop, implement, and maintain quality management systems in compliance with ISO/TS 16949 standards. Bachelor's degree in Engineering, Quality Management, or related field. Experience with supplier quality management and customer-facing audits.

Participates and owns PowerPoint editing, updating, management, and organization for Physician and Coder Education and organization presentations. This role is essential to the smooth functioning of the professional coding department and supports a wide range of activities including scheduling, repo

Dedicated to serving local communities, we are engineers, planners, technical experts, strategic advisors and construction management professionals.

Experience with business process management tools and software. Strong project management and business analysis skills. Effective communication and stakeholder management skills.

Business Analyst III Opportunity.Adecco is assisting a local client recruiting Business Analyst III opportunities in New York.This is an excellent opportunity to join a winning culture and get your foot in the door known for being the world's largest cosmetics company, with activities spanning skin

Requires expertise in SAM processes, licensing compliance, software asset tracking, compliance, and reporting and vendor management. Strong written/verbal communication client/stakeholders management skill.

Map out what a strong vision, clear operating rhythm, thoughtful performance management, and genuine team connectivity look like. Qualities that will help you thrive in this role are: Bachelor's degree in Business Administration, Operations Management, or related field (preferred). At least 3-5 year

Meta is seeking a Performance & Capacity Engineer to join the Capacity Engineering & Analysis team to focus on site-wide performance and capacity optimization at the intersection of all Meta products and services, and all physical infrastructure (Servers, Data Centers, Network).This role will focus

Now Hiring BDC Administrators!.If you are a customer service professional with great people and computer skills, APPLY TODAY to join us on the road to success!.We are committed to Growing our Company and Growing our People!.We are one of over 300 Lithia & Driveway dealerships nationwide.Come be a pa

Are you a luxury automobile enthusiast who appreciates the finer details of high-end vehicles? If the answer is yes, we are looking for you!.As a Luxury Brand Evaluator, you will step into the world of luxury to discreetly assess customer experiences and provide critical feedback that helps brands r

Ensures best practice utilization of CMMS systems including preventive and predictive maintenance procedures, ensuring the accuracy and completeness of the dataset and files;. Provides technical expertise for PSM (Process Safety Management) and MI (Mechanical Integrity) programs,. Mechanical Integri

Applicants must be legally authorized to work in the United States without the need for sponsorship now or in the future.At Voyant Beauty, our people are the driving force behind everything we achieve.Our culture is rooted in teamwork, respect, and continuous growth — ensuring every individual’s

ThetaRay is a trailblazer in AI-powered Anti-Money Laundering (AML) solutions, offering cutting-edge technology to fintechs, banks, and regulatory bodies worldwide.Our mission is to enhance trust in financial transactions, ensuring compliant and innovative business growth.Thetaray is a culture-drive

Initiates or participates in projects follows project management methodologies, communicates project status and provides timely escalation of issues to senior management to ensure project objectives are met. The position requires thorough attention to detail, risk management awareness and understand

A 6 month contract opportunity is available for a Validation Engineer.Scope of work is Aseptic Process Validation in a Life Sciences Environment.This includes designing and writing the validation protocols, overseeing the execution and documentation.The majority of work can be completed remote with

This individual will be working closely with senior managers across finance, investment management, operations, technology, investor services, compliance/legal, and marketing. Maintain client relationship management database and providing reports to Directors on a regular basis.

Together, we own our company, our future, and our shared success.As an employee-owned company, our people are Black & Veatch.We put them at the center of everything we do and empower them to grow, explore new possibilities and use their diverse talents and perspectives to solve humanity's biggest ch

Excellent communication, presentation, time management and organizational skills. Desired Skills: SaaS, Human Capital Management, Effective Communication, Solution/Consultative Selling, Team Player, Accountability, Salesforce. Enterprise Software, Customer Engagement, Talent/HRIS/CRM Management Syst

Excellent organizational and time management skills.