• Lead-Medicaid Customer Success

    CenterWell (Albany, NY)
    …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... management for all product improvement initiatives + Create monthly business reviews and present to client + Escalate issues for immediate review and action whenever necessary + Request, review and approve data used for prioritization purposes + Analyze data… more
    CenterWell (08/08/25)
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  • Vice President of Single Family…

    State of New York Mortgage Agency (New York, NY)
    …agencies and groups, as required; + Supervising premium billing and collection, claims processing and payments, and loss mitigation procedures; + Maintaining ... and monitoring servicing database; + Providing liaison and ongoing contact with lenders, contract servicers, coinsurers and reinsurers; + Establishing and maintaining servicing policies and procedures; and + Carrying out such other duties as are necessary to… more
    State of New York Mortgage Agency (08/08/25)
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  • Nurse-Psychiatric NP

    Northern Rivers Family Services (Troy, NY)
    …and Medicaid Services (CMS). All electronic prescriptions in NYS require an NPI. Claims processing functions also require the NPI of nurse practitioners and ... physicians. + Federal Drug Enforcement Administration (DEA)number - issued by the United States Department of Justice Department DEA to nurse practitioners and physicians to prescribecontrolledsubstances. DEA registration must be renewed every three years for… more
    Northern Rivers Family Services (08/08/25)
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  • Utilization Review Nurse

    CDPHP (Albany, NY)
    …two (2) years Utilization Management experience is preferred. + Knowledge of coding/ claims processing is preferred. + Experience working with Microsoft Office, ... including Outlook, Word and Excel, and other databases required. + Demonstrated ability to pro-actively identify problems and recommend solutions. + Demonstrated ability to stay organized and work effectively within strict deadlines. + Demonstrated ability to… more
    CDPHP (08/03/25)
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  • Pharmacy Tech

    WMCHealth (Valhalla, NY)
    …patient paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's ... help will be needed - the entire process is done online) + Stocking and pricing of medications in inventory + Ensuring availability of drugs by delivering them to patients or facilities + Maintaining pharmacy's (and its patients' employees') safety by adhering… more
    WMCHealth (07/30/25)
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  • Collections & Denials Management Representative

    Rochester Regional Health (Rochester, NY)
    …Management Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts… more
    Rochester Regional Health (07/25/25)
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  • Radiation Oncology Financial Authorization…

    Mount Sinai Health System (New York, NY)
    …all insurance assessment forms and agreements and ensures they are accurate for claims processing . 8. Performs other related duties. **About Us** **Strength ... through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount… more
    Mount Sinai Health System (07/25/25)
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  • New York RN Case Manager

    Public Consulting Group (Albany, NY)
    …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities** + Responsible for helping program recipients, family members, and caretakers navigate healthcare… more
    Public Consulting Group (07/18/25)
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  • Pharmacy Technician - Patient Care Specialist

    Independent Health (Buffalo, NY)
    …Pharmacy Technician Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written ... communication skills and an aptitude for working with other health care professionals. + Ability to lift a minimum of 5lbs. + Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive.… more
    Independent Health (07/17/25)
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  • School Food Services Manager

    Albany Leadership (Albany, NY)
    …applicable laws. ? Process Annual FRPL forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all School event meals ? ... Perform special assignments and other duties as assigned or required by the supervisor. Desired Skills: ? Ability to complete 10 hours of training annually as required by the USDA. ? Experience in quantity food production and preparation preferred. ? Must be… more
    Albany Leadership (07/16/25)
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