- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …+ Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve disputes ... the managed care department of the company. Responsible for training, development and conducting performance reviews of subordinate staff, estimating personnel… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …and dashboards **A typical day includes:** Supporting contract strategy development , including extensive analysis of competitive payer and provider ... The Associate Manager , Pricing and Contracting Analytics (Ophthalmology) will be...develop and support in-line brand pricing strategy, execution, and contract strategy development . Typical responsibilities include analysis… more
- Catholic Health Services (Melville, NY)
- …staff and other health team members to understand and help comply with payer / contract issues and appeal preparation. + Maintains strict standards for patient ... named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures all necessary documentation is obtained prior to submitting application to Manager for approval. Generates approval/denial letters, as well as a Financial ... setting up automatic payments, and sending letters to the patient regarding contract or past due balances. + Documentation: Documents all conversations regarding… more