UNKNOWN

FEED

Candidates should have 2+ years of acute care experience, utilization management or appeals experience, and working knowledge of MCG/InterQual criteria and NYS Medicaid, Medicare, and Marketplace appeal regulations. Education/Experience: Requires a degree from an Accredited School of Nursing or Master’s degree in Behavioral Health or Social Work and 2 – 4 years of related experience.

Centene Management Company

Clinical Review Clinician - Appeals

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BetterPros unlocks human potential by offering competitive compensation, flexibility, constant learning and growth, and the opportunity to work anywhere you want with one of our +130 active clients across the United States. Do you enjoy working through architectural, structural, waterproofing, and plumbing sets — translating mark-ups and direction into precise documentation?

Better-Pros

Architectural Drafter ( Full Time, New York) 6326

FULL_TIME

Data modeling — conceptual, logical, and physical models for AWS data platforms; normalized silver-layer schemas, denormalized star/snowflake gold-layer schemas, data dictionaries. You'll own the full data stack across a variety of industries and projects: one engagement you're designing a Redshift data warehouse with medallion architecture processing 31M transactions/month, the next you're building a Bedrock Knowledge Base with OpenSearch vector search.

Innovative Solutions

AI Data Architect

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Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. These benefits include comprehensive health care coverage and emotional well-being support, market-leading retirement, generous paid time off and parental leave, charitable giving employee match program, and educational assistance including student loan repayment, tuition reimbursement, and learning resources to develop your career.

We help over ~40 million people feel more confident in their most important financial goals, manage employee benefit programs for nearly 23,000 businesses, and support more than 3,600 advisory firms* with innovative investment and technology solutions to grow their businesses.


Our diverse businesses and independence give us insight into the entire market and the stability needed to think and act for the long term as we deliver value to you.

Fidelity

Regional Director, Private Wealth Management - Central East

Coordinators are passionate about Apartment Life’s vision and mission and pair that passion with skill by planning consistently excellent and engaging events; communicating with care and clarity; and offering acts of genuine hospitality and support. We are seeking mission-minded, highly relational, and responsible individuals who enjoy meeting new people, planning social activities, and helping others experience God’s unconditional love.

Apartment Life

Events and Ministry Coordinator (Onsite)

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.

Clinical Review Nurse - Concurrent Review

Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members. Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care.

Clinical Review Nurse - Prior Authorization

Our Specialty Support Track allows learners to receive expert-level support in specific areas while giving our BCBAs the opportunity to learn from other clinicians with specialized experience. Pillars Behavioral Health is growing, and we’re looking for compassionate, driven BCBAs who want to do meaningful work without the unnecessary stress that can come with the job.

Alpaca Health

Board Certified Behavior Analyst (BCBA)

The Senior Medical Science Liaison is a field-based, external customer-facing member of the US therapeutic area medical unit team, responsible for analyzing, interpreting and disseminating scientific data, acquiring and translating customer insights, fostering external expert networks, and compliantly connecting customers to Takeda to advance medical strategy and improve patient outcomes. • Demonstrate advanced knowledge regarding Takeda disease areas and products as well as therapeutic area competitor landscape; analyze and interpret complex scientific information and disseminate to KOLs/HCPs in a compliant, fair-balanced, and non-misleading manner.

Takeda is a patient-focused, values-based, R&D-driven global biopharmaceutical company committed to bringing Better Health and a Brighter Future to people worldwide. Our passion and pursuit of potentially life-changing treatments for patients are deeply rooted in over 230 years of distinguished history in Japan.

Takeda

Senior Medical Science Liaison - Rheumatology - NYC/NJ/Philadelphia

10+ years in retail/wholesale marketing, leading multi-channel campaigns (in-store, digital, influencer, media) with measurable impact; experience with major retailers (Walmart, Macy's, Kohl's, Nordstrom); apparel/intimates a plus. We don't just consult or advise: we own and operate our own digitally native brands, combining technology, growth marketing, and operational excellence to scale purpose-driven companies fast.

Trafilea

Sr Retail Marketing Manager

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Under the direction of the Applications Development Manager, the ETL/SSIS Developer actively supports all aspects of the projects from start to finish with a particular emphasis on program development, quality testing and end user enablement. The ETL/SSIS Developer/Application Analyst is responsible for providing direct support to the company's application landscape in addition to developing and implementing Business and IT application improvement initiatives/projects.

HOUR

Datrose, Inc

Applications Analyst (NOT REMOTE) - Commute to Fairport NY

SmartSearch

In this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry.

Almaaventurera

Remote Travel Customer Representative

Required Skills: AnalysisProcess ImprovementSASData ManagementSoft SkillsTimelinesWritingSpecificationsProgrammingPresentationsEducationTime ManagementResearchLeadershipCommunicationManagement. - Submission Activities: Participate in submission activities, including interim analysis (IA), clinical study reports (CSR), development safety update reports (DSUR), and FDA submissions.

Elan Solutions

Senior SAS Programmer (Lead and Co-Lead Experience, Oncology Expertise)

The advisory work itself: using the platform's data to show customers where to change how they run the operation, measured against real business outcomes rather than adoption metrics. Leading and developing two Customer Success Associates who work like junior and mid-level consultants, preparing the analysis and the decks so you can lead the client relationship.

Pave Talent

Senior Customer Success Manager (Enterprise)

In this fully remote role, you will serve as a key point of contact for travelers, providing support before, during, and after their trips to ensure a smooth and positive experience. This role is ideal for someone with strong customer service skills who enjoys helping others, staying organized, and working independently in a remote environment.

Remote Client Support Representative

We believe that skilled mechanics shouldn't be limited by traditional brick-and-mortar settings but should have the flexibility to work remotely, leveraging technology to provide expert services wherever they're needed. Through innovative platforms and robust support systems, we're creating a new paradigm in the mechanic industry, one that prioritizes efficiency, accessibility, and inclusivity.

Remote Mechanic Jobs

Remote Mechanic Job | Qualification Review

Whether you're breaking free from traditional work constraints, customizing your schedule around your lifestyle, or determining your value through personalized pay scales, this is where possibilities unfold. Submitting an application means more than looking for a job or growing your existing business; it involves becoming a participant in a movement that redefines success.

Remote Mechanic Job | Additional Details

The successful candidate will provide comprehensive primary care services, seeing 30 patients per day, and will be an active contributor to a collaborative, patient-centered care model. While this is primarily an on-site role, the practice also offers some remote work opportunities, providing added flexibility while maintaining a collaborative, patient-centered approach to care.

US Career Partners

NP/PA PCP, High Volume and Comp

Daily activities include Inbound and outbound calling, setting appointments, performing presentations to members of unions that request our benefits, basic computer knowledge, completing the necessary paperwork, quality control, and leadership development. Experience in our industry is not required as we have industry-leading training and support to provide you the tools to be successful and achieve your professional and personal dreams.

srecruiting

Benefits Representative Remote Work

Help Improve Our Products Identify recurring issues and recommend product improvements based on customer feedback and troubleshooting experiences. Be the First Line of Support Answer incoming calls from customers and installers, providing expert guidance on operations, troubleshooting, maintenance, and installation support.

Work From Home Jobs in Ithaca, NY

Clinical Review Clinician - Appeals Centene Management Company

Architectural Drafter ( Full Time, New York) 6326 Better-Pros

AI Data Architect Innovative Solutions

Regional Director, Private Wealth Management - Central East Fidelity

Events and Ministry Coordinator (Onsite) Apartment Life

Clinical Review Nurse - Concurrent Review Centene Management Company

Clinical Review Nurse - Prior Authorization Centene Management Company

Board Certified Behavior Analyst (BCBA) Alpaca Health

Senior Medical Science Liaison - Rheumatology - NYC/NJ/Philadelphia Takeda

Sr Retail Marketing Manager Trafilea

Applications Analyst (NOT REMOTE) - Commute to Fairport NY Datrose, Inc

Remote Travel Customer Representative Almaaventurera

Senior SAS Programmer (Lead and Co-Lead Experience, Oncology Expertise) Elan Solutions

Senior Customer Success Manager (Enterprise) Pave Talent

Remote Client Support Representative Almaaventurera

Remote Mechanic Job | Qualification Review Remote Mechanic Jobs

Remote Mechanic Job | Additional Details Remote Mechanic Jobs

NP/PA PCP, High Volume and Comp US Career Partners

Benefits Representative Remote Work srecruiting

Technical Support Representative (Remote) Nexis Builds

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