- Sumitomo Pharma (Albany, NY)
- …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... + Solid understanding of pharmaceutical commercial data (eg, sales, demand, claims , CRM). **Education and Experience** + Bachelor's Degree in Computer… more
- WMCHealth (Valhalla, NY)
- …a data analytics, data engineering, or strategy analytics role, ideally within a healthcare corporate strategy, operations , or analytics team. + Proficiency in ... capabilities for secure data migration/transfers from external sources (eg, SPARCS, claims -based tools), oversee data extraction, and ensure data cleansing for… more
- The Cigna Group (New York, NY)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/Provider/Ancillary** **group experience required** + **1+ years Provider Servicing… more
- UHS (Vestal, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage… more
- UHS (Johnson City, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage… more
- Stony Brook University (East Setauket, NY)
- …related field with a minimum of 6 months business experience, preferably in a healthcare setting; **_or_** an Associate's degree and at least 6 months of business ... experience, preferably in a healthcare setting such as revenue cycle, medical billing, or...reviewing and following-up on rejected/denied inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding… more
- Adecco US, Inc. (Utica, NY)
- …Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Sumitomo Pharma (New York, NY)
- …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... + Collaborate closely with cross-functional teams-including clinical development, clinical operations , data management, programming, and medical writing-to maintain the… more
- Independent Health (Buffalo, NY)
- …collaboration. **Overview** The Patient Care Specialist, under the supervision of Manager, Operations & Compliance, assists in the various activities of the pharmacy ... operations not requiring the professional judgment of the pharmacist....Certification (CPhT) preferred. + Experience working with on line claims processing system preferred. + Effective oral and written… more
- Arnot Health (Elmira, NY)
- …payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + Maintain proficiency in CPT, HCPCS, ICD-10, OPPS, and related ... monitoring What We're Looking For: + Associate's degree or higher in Healthcare , Finance, Business, Accounting, or equivalent experience required. + AAPC CPC (not… more