- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Utilities Service, LLC (Albany, NY)
- …areas. + Assists Manager in the establishment and implementation of regional safety goals . + Advises Manager on health and safety related trends within the ... management to develop and execute safety initiatives that align with corporate goals . + Provide technical expertise and support to field teams, ensuring adherence… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more
- CVS Health (Albany, NY)
- …heart, each and every day. Position Summary We are seeking a Senior Manager Product Strategy for our Weight Management product within our Care Management Solutions ... team. As a Senior Manager Product Strategy for Weight Management, you will be...evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....accounts, resulting in payment or resolution of the outstanding claim . The Specialty A/R associate will utilize MFG and/or… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... strive for diverse partnerships to enhance work toward common goals . + Empowered Development - Play an active role...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… more
- Siemens (New York, NY)
- …lead in a fast-paced, high-impact environment? Join us as a Senior Commercial Project Manager in our Rail Infrastructure business in New York City, NY, where you'll ... achievements.Be the go-to commercial voice for our customers-align on payments, claims , and commercial strategy.Forecast, analyze, and optimize project cash flow… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more