- Humana (Albany, NY)
- …health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication ... prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate… more
- Fujifilm (Albany, NY)
- …IT infrastructure design and deployment, medical imaging industry in general and clinical environment workflow. In addition to technical expertise, HCUS relies on ... information dissemination. Responsible in maintaining existing written documentation, periodic review , and Intranet postings. **Company Overview** At FUJIFILM Healthcare… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... internal equity considerations._ **Responsibilities:** Oversees departmental activities to ensure quality in conducting, maintaining, and communicating the medical and… more
- Stony Brook University (Commack, NY)
- …codes with modifiers for services provided in the facility environment + Review the medical record and all applicable documentation to determine the appropriate ... encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting + Demonstrates proficiency with Microsoft Office Applications, Citrix, and Adobe… more
- WMCHealth (Valhalla, NY)
- …information for clinicians to coordinate treatment strategies and to facilitate the remote treatment of patients. Abstracts clinical data from multiple ... TeleHealth Data Specialist will perform a variety of both complex and routine clinical support duties. Coordinates with clinical team members as appropriate, in… more
- University of Rochester (Rochester, NY)
- …across its Clinical and Research missions. This position is mostly remote work with some expectation for in-person attendance for meetings or events. **ESSENTIAL ... and accounting. They will also help administer Cardiology's growing portfolio of clinical service agreements. Through this advanced work, they will play a critical… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for improving health outcomes ... care experience of our members and provider partners through quality solutions. HQS is committed to caring for our...management, health outcomes, patient experience, and plan operations. **Location:** Remote or if in Louisville hybrid The Lead for… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is… more
- Humana (Albany, NY)
- …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's ... are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports… more
- CenterWell (Albany, NY)
- …and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural ... Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation… more