• Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Essential Accountabilities: Level I + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Director of Revenue Engagement- Patient Financial…

    Mount Sinai Health System (New York, NY)
    …registration, coding , and billing accuracy and performance. * Support clinical leaders and administrators by providing education on revenue cycle best practices ... optimizing processes across the entire revenue cycle-including registration, pre-authorization, coding , billing, collections, reimbursement, and financial analysis-to drive revenue… more
    Mount Sinai Health System (08/21/25)
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  • Associate Medical Director, Pharmacovigilance…

    Sumitomo Pharma (Albany, NY)
    …products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including ... Reports (SAEs), and Product Complaints (PCs) + Contributes to medical safety of clinical trials, including monitoring of clinical trial safety and laboratory… more
    Sumitomo Pharma (08/15/25)
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  • Denials Management Specialist

    Syracuse Community Health Center (Syracuse, NY)
    …electronic health record system. This role requires expertise in healthcare billing, coding , and insurance policies to identify root causes of denials, appeal ... billing modules and reporting tools, advanced training in Medical Billing or Coding , including CPC certification required or an equivalent combination of education,… more
    Syracuse Community Health Center (09/21/25)
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  • Ambulatory Biller / Coder

    SUNY Upstate Medical University (Syracuse, NY)
    …needed. Responsible to add, remove, and prioritize diagnosis codes received from clinical departments, physicians, and Financial Service staff to ensure claims are ... billed and/or resubmitted with appropriate coding . Responsible to assist ambulatory departments with ... coding . Responsible to assist ambulatory departments with coding issues and/or questions to ensure claims are billed… more
    SUNY Upstate Medical University (07/18/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Albany, NY)
    …realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more
    Datavant (09/04/25)
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  • Supervisor VI - CDM Supplies-Corporate 42nd…

    Mount Sinai Health System (New York, NY)
    …ensures consistent supply charging practices across departments and facilities, compliance with clinical research and free device set-ups, and the review of device ... + Performs Charge Capture in daily activities related to coding and billing for all supplies and implants purchased...and billing for all supplies and implants purchased by clinical departments. + Reviews Clinical Research documentation… more
    Mount Sinai Health System (08/18/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …not limited to: Advising primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to value-based care; Dissemination ... relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow… more
    Highmark Health (09/26/25)
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  • Programmer

    Elite Enterprise Resources (Albany, NY)
    …States/ 2 Year Contract APPLICATION CLOSING DATE: 03-30-2016 PROGRAMMER Analysis, design, coding , component and assembly testing of all application code owned by the ... work. * Development of technical design documents and program specifications. * Coding , unit and integration testing of programming assignments. * Writing and tuning… more
    Elite Enterprise Resources (07/16/25)
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  • Project Support Immunology and Tissue Typing…

    Stony Brook University (Stony Brook, NY)
    …Immunology and Tissue Typing Laboratories **Position Summary** At Stony Brook Medicine, Clinical Support Coordinator is a valuable member of the Department of ... Laboratories team. This position reports to the Administrative Director, Clinical Pathology. Medical and technical oversight of the Immunology Laboratory is provided… more
    Stony Brook University (09/26/25)
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