- Molina Healthcare (Syracuse, NY)
- …over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work cross-functionally with Configuration, ... COB claim adjudication, configuration testing, and QNXT setup validation. + Provide training, mentorship, or oversight support to junior analysts, as needed.… more
- St. Mary's Healthcare (Amsterdam, NY)
- …since the Times Union launched the recognition program 14 years ago. St. Mary's Healthcare is seeking a dedicated Advanced Practice Provider (NP or PA) to ... St. Mary's Healthcare has been named a 2025 Times Union...of care + Evaluate and manage common spinal conditions, provide treatment recommendations, and support surgical decision-making + Collaborate… 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 ... connectors, health management, and/or transition of care activities to assist Molina Healthcare members with their healthcare needs. Care Management staff work… more
- Molina Healthcare (Syracuse, NY)
- …management (such as, reviewing prior authorization requirements, reviewing drug/ provider utilization patterns and pharmacy costs management), clinical pharmacy ... including all applicable regulatory requirements pertaining to member and provider notification. + Collaborate with state agencies, analytics, finance, government… more
- Bassett Healthcare (Little Falls, NY)
- …collaboratively with the Director, Manager, Physicians, Social Workers, and other healthcare professionals to coordinate patient care and treatment. They must ... and supervisor review. Assures staff compliance to job description and healthcare requirements Consistently collaborates with patients, families and providers in… more
- Allied Universal (Warwick, NY)
- …perks, and more for most full-time positions! As a **Security Officer - Unarmed Healthcare Patrol** in **Warwick, NY** , you will serve and safeguard clients in a ... range of industries such as Healthcare and more . Join a leading team where...at short notice when urgent needs arise **Responsibilities:** + Provide customer service to clients, staff, and visitors by… more
- FleishmanHillard (New York, NY)
- …opening for an entrepreneurial, self-starting Vice President to join our growing healthcare team. This is an exciting career opportunity for a PR professional ... with a passion for healthcare -related communications to work closely with FH senior management...relationships as well as relationships with third-party influencers. + Provide team member management and development. Qualifications + 8+… more
- Research Foundation CUNY (New York, NY)
- Job Title: Director of Clinical Healthcare Programs PVN ID: LA-2507-006906 Category: Instruction and Social Service Location: LAGUARDIA C. C. Job Description General ... Senior Director of Workforce Development, the Director of Clinical Healthcare Programs develops, implements, manages, assesses, and improves industry-informed and… more
- Bassett Healthcare (Cooperstown, NY)
- …Unit C3 Obtain necessary medical records and documentation Crosstrain to provide support for the logistics transportation Assesses payment source, determines ... plans to progress patient care to discharge Actively communicates with multidisciplinary healthcare team (Primary Nurse, nurse manager, C3, etc.) Meets with Unit C3… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... them into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends and patterns. Communicate insights and… more