- Molina Healthcare (Syracuse, NY)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends… more
- Travelers Insurance Company (Albany, NY)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- Abbott (Hauppauge, NY)
- …Territory Manager will work with, and report to, the Regional Sales Director to identify/evaluate market opportunities, business potential, and to achieve annual ... on clinical differentiation in the procedure, value proposition, product launch, physician onboarding, early case coverage and training. + Secondary responsibility… more
- WMCHealth (Valhalla, NY)
- …Job Summary: The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the participating managed care ... on behalf of WMC Health Network for the Hospital's, Physician Groups and Ancillary Providers. The incumbent will also...care payers. Responsibilities + In coordination with the Senior Director of Managed Care, will escalate to the managed… more
- University of Rochester (Rochester, NY)
- …insurance products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. _Interdisciplinary Processes_ + Collaborate ... Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with Transfer Center and Transplant… more
- University of Rochester (Rochester, NY)
- …products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. **_Interdisciplinary Processes_** + Collaborate ... Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with Transfer Center and Transplant… 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 ... payer policy requirements and billing codes + Provide support in triaging contracting , billing and coding, access and procurement questions and other issues where… more
- Molina Healthcare (Syracuse, NY)
- …request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits ... phone, fax, and mail according to Molina operational timeframes. + Contacts physician offices according to Department guidelines to request missing information from… more
- Regeneron Pharmaceuticals (Troy, NY)
- …Global Procurement will be part of an amazing team reporting to a Director of Global Procurement- Direct. Regeneron is a leading biotechnology company that invents, ... people with serious diseases. Founded and led for 35 years by physician -scientists, Regeneron's unique ability to translate science repeatedly and consistently into… more