- Molina Healthcare (Buffalo, NY)
- …provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships… more
- OLV Human Services (Lackawanna, NY)
- …NYS DOH Article 28 regulations. This role is responsible for leading a team of Patient Service Representatives (PSRs), Hygienists and Dental Assistants, managing the ... A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented… more
- Norstella (Albany, NY)
- …passionate expert in RWD and the pharmaceutical industry to join our RWD Engagement Team as a RWD Senior Analytic Consultant to support our delivery of RWD ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...life sciences client base. You will join a high-performing team empowered to work creatively to deliver solutions that… more
- Sumitomo Pharma (Albany, NY)
- …the advertising and promotion of prescription drugs + Guide and/or lead regulatory agency interactions, including communications and meetings + Provide strategic ... and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling +… more
- AON (New York, NY)
- …Invoicing and other transactional duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed, ie: special projects, ... on polices and other insurance and provider documents + Lead , measure and report on ongoing insurance or risk...duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team … more
- Zurich NA (New York, NY)
- …Analyst** will be a key member of Zurich Cover-More's global transformation team , supporting the Global Transformation Lead in designing and implementing ... business operates globally, partnering with leaders across distribution, underwriting, claims , assistance, and shared services to capture requirements, design future… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and execution effectiveness** . Additionally, the role collaborates with **Business Analysis team ** to ensure field teams have access to **actionable insights and a ... , fostering strong alignment with broader commercial objectives. + ** Lead Business Review Framework & Execution** + Own the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …seeking a Director, Market Access Insights & Analytics - Oncology to join our team ! **In this role, a typical day might include:** The Director, Market Access ... + Experience working with Oncology datasets, including prescription, sales data and claims /patient level data sets inclusive of pharma data sources such as IQVIA,… more
- Humana (Albany, NY)
- …The Stars Improvement Principal provides strategic advice and guidance to functional team (s). Highly skilled with broad, advanced technical experience. This role is ... encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a… more
- Oracle (Albany, NY)
- **Job Description** **Evidence Generation Lead /Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home** Oracle Life Sciences is seeking a qualified ... with a PhD to join our Health Outcomes Research team in the Real World Evidence Group. In this...In this role you will have the opportunity to lead the design, analysis, and publication of health outcome… more