- SUNY Upstate Medical University (Syracuse, NY)
- …Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with healthcare insurance prior ... medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies,… more
- Elderwood (Buffalo, NY)
- …mission of excellence in long-term care. Responsibilities Therapy Managed Care Coordinator : + Coordinate and process prior authorizations and re-authorization ... Salary $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital connection between quality care and patient access. Elderwood is seeking a… more
- Highmark Health (Albany, NY)
- …oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing member claims history, clearly defines the ... to perform a complete and accurate evaluation of all non-formulary drug exception requests prior to approval, authorization or claim override. + Search member … more
- OLV Human Services (Lackawanna, NY)
- …with developmental disabilities? OLV Human Services is looking for a Program Coordinator to lead and support our residential teams in providing meaningful, ... person-centered care across our community-based homes. As a Program Coordinator , you will play a pivotal role in mentoring residential leadership, guiding direct… more
- CUNY (New York, NY)
- Enrollment Bursar Coordinator **POSITION DETAILS** Along with the CUNY Title Overview and reporting to the Associate Bursar, the Enrollment Bursar Coordinator ... as needed. + Process and maintain all stop payment and fraudulent check claims . + Process all FLNP loans for Hunter College Nursing majors, maintaining communication… more
- Ross Stores, Inc. (New York, NY)
- …under\-\) payment in prior paychecks + Responds to and vets unemployment claims with Equifax to ensure accurate management of process\. + Reports on HR Connect ... opportunities and development for our teams\. **About this opportunity\.\.\.** The Coordinator , HR Ops is responsible for processing associate employment records for… more
- Highmark Health (Albany, NY)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... + Contact physicians and pharmacists to clarify prescriptions, obtain prior authorizations, and discuss alternative therapies to improve medication adherence… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Intake Coordinator will assist in the various activities of the pharmacy operations not ... requiring the professional judgment of the pharmacist. The Intake Coordinator will be primarily responsible for intake of new...in a high-volume pharmacy or health insurance company handling prior authorizations required; OR six (6) months as a… more
- Elevance Health (New York, NY)
- …unless an accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Residential Coordinator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... residences and direct supervision of Shift Supervisors or Assistant Residential Coordinator and Direct Care Counselors, Sets performance standards and provides the… more