Fidelis Care New York Jobs in Kiryas Joel

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The Utilization Management (UM) Clinician performs clinical reviews to assess medical necessity of a broad range of outpatient and inpatient services, while maintaining compliance with all regulatory requirements. Interfaces with medical directors, and both internal and external stakeholders, with regard to coverage for services, contract benefits and alternate resources available. This position i...

Fidelis Care is a rapidly growing Statewide health plan offering immediate opportunities for experienced, licensed Social Workers. Social Work Career Fair Learn more about opportunities in: - Behavioral Health - Managed Long Term Care Wednesday, July 22, 2015 5 PM - 9 PM 95-25 Queens Blvd Rego Park (Queens) NY 11374 Let us know you're coming 1) Click the "Register Now" button below 2) T...

The AVP, Vendor Oversight is responsible for the strategic development of contractual relationships with Fidelis' major vendors currently providing dental, vision, pharmacy and transportation services. This position manages all aspects of oversight for the operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships to assure compliance w...

The Provider Relations Representative assures that all provider orientations, site visits, access and availability studies are completed within established time frames. This position establishes and fosters strong positive relationships with key providers by coordinating and facilitating meetings and identifying on site enrollment opportunities. Technical/Functional Expectations: Provider Servic...