- Molina Healthcare (Syracuse, NY)
- …Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and ... goals and maintaining a high level of confidentiality for provider information . Responsible for coordinating assigned aspects of enterprise-wide credentialing and… more
- CVS Health (Albany, NY)
- …support east coast business hours. Preferred Qualifications . Experience in healthcare industry, including health insurance, PBM or pharmacy services. . Experience ... and many other benefits depending on eligibility. For more information , visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. + Processes requests within required timelines. +… more
- WTW (New York, NY)
- **Description** As a Healthcare Financial/Actuarial Associate you will contribute to a wide variety of complex analyses and projects involving the design, financing, ... has been identified. **Compensation and Benefits** Base salary range and benefits information for this position are being included in accordance with requirements of… more
- CVS Health (New York, NY)
- …corporate and external search experience with experience recruiting for the healthcare industry. + Proven experience delivering strategic and consultative recruiting ... and many other benefits depending on eligibility. For more information , visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. + Processes requests within required timelines. +… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or… more
- Molina Healthcare (Yonkers, NY)
- …production and fulfillment deadlines * Gather print specifications, quantity and version information and provide to print and fulfillment vendors as needed for ... or two (2) or more years of applicable experience in Healthcare /Medicare print/mail production or project management required **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS… more
- Molina Healthcare (Buffalo, NY)
- …Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research ... and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills… more
- Molina Healthcare (Syracuse, NY)
- …merger and acquisition transactions and will actively contribute in advancing Molina Healthcare 's overall growth strategy. The role entails working closely with the ... and analysis + Ability to synthesize complex ideas and translate into actionable information + Strong analytical and modeling skills + Excellent verbal and written… more