- Stony Brook University (Commack, NY)
- …for contract modeling and financial analysis. + Proven track record of successful payer relations and dispute resolution. + Demonstrated ability to develop ... Director of Managed Care Contracting **Position Summary** Stony...affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms,… more
- Outreach Development Corporation (Richmond Hill, NY)
- …health services and training. For more information, please visit www.opiny.org. The Sr. Director of Finance will serve a key member of the financial leadership team, ... is $125,000 - $150,000. Job Scope Working closely with the CFO, the Sr. Director for Finance will provide Financial Leadership and Strategy + Collaborate to provide… more
- CVS Health (Albany, NY)
- …it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of provider data ... with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations. The Lead… more
- Highmark Health (Albany, NY)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Sanofi Group (Albany, NY)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion… more
- University of Rochester (Rochester, NY)
- …determine the reason the request was denied and prepares a response to the payer with necessary additional information. + If the denial management needs to involve ... letter of medical necessity is needed or if physician-to-medical director conversation is needed for approval outside of the... conversation is needed for approval outside of the payer policy. + Documents all PAs in the appropriate… more
- University of Rochester (Rochester, NY)
- …a department, in addition to serving as the principal assistant to Senior Director (s), Director (s), Associate Director (s), or other leadership roles. ... Chair of Medicine's Office for all faculty appointments, hospital privileging, and payer credentialing- - - Ensure completion of all requirements for timely… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... The Art Supervisor is responsible for providing direct support to the Creative Director , particularly in the areas of creative presentation, client relations ,… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... department position responsible for providing direct support to the Creative Director , particularly in the areas of creative presentation, client relations… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... department position responsible for providing direct support to the Creative Director , particularly in the areas of creative presentation, client relations… more