• Utilization Management Reviewer, RN (Commercial)

    Excellus BlueCross BlueShield (Rochester, NY)
    …Level I: + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits… more
    Excellus BlueCross BlueShield (06/25/25)
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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 (05/16/25)
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  • Lab Administrative Support - Pathology - Full Time

    Guthrie (NY)
    …Client Services and for Laboratory Management. Position performs the ICD coding , billing review and some billing entry of most Pathology/Cytology specimens ... medical office or laboratory setting is highly preferred. Medical diagnosis coding or billing experience/knowledge is preferred. Education High School Diploma… more
    Guthrie (07/11/25)
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  • Inpatient Medical Coder - FT - Up to $5,000 Sign…

    Datavant (Albany, NY)
    …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional… more
    Datavant (06/25/25)
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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 (05/19/25)
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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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  • 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 (07/13/25)
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  • Insurance Specialist - St. Peter's Hospital - FT…

    Trinity Health (Albany, NY)
    …cost-effective care. Works collaboratively with staff to obtain information from clinical reviews and medical records in order to provide the appropriate ... in the discussion and notification processes that result from the clinical utilization reviews with the facilities **Position Highlights:** + **Recognized leader:**… more
    Trinity Health (06/14/25)
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  • Revenue Integrity Analyst I

    Intermountain Health (Albany, NY)
    …and system-wide initiatives. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. Researches ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Provides education and guidance to revenue cycle… more
    Intermountain Health (07/16/25)
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  • Outpatient LPN Coordinator - Orthopedics

    Arnot Health (Elmira, NY)
    Job Description MAIN FUNCTION: Under direction from the Director of Clinical Services, assists with coordination of clinical and clerical related services for a ... inter-office, inter-departmental communication. DUTIES AND RESPONSIBILITIES: Nursing 1. Demonstrates clinical expertise in office nursing and maintains competent knowledge… more
    Arnot Health (06/05/25)
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