- Bassett Healthcare (Cooperstown, NY)
- …and indirect nursing care individualized to the patient's needs. Collects and records relevant patient health data accurately Evaluates health data to identify ... Graduate of a Practical Nursing program, required Experience: Previous healthcare experience, preferred License/Certifications: Current NYS LPN License and… more
- Molina Healthcare (Syracuse, NY)
- …for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring members to ... a liaison between other departments. **Job Duties** + Handles and records inbound/outbound pharmacy calls in required systems from members, providers, pharmacists,… more
- Molina Healthcare (NY)
- …timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records , notes, and/or ... year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written communication skills. To all current… more
- Molina Healthcare (Albany, NY)
- …* Create, review, and approve program documentation, including plans, reports, and records . * Ensure documentation is updated and accessible to relevant parties. * ... * Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of… more
- Cognizant (Albany, NY)
- …UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate and ... with minimal supervision. * Good skills at problem resolution specifically related to healthcare claim adjudication. * Possess ability to work at a computer for… more
- Norstella (Albany, NY)
- Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data,… more
- WTW (New York, NY)
- …Boston, MA, Philadelphia, PA, King of Prussia, PA, Stamford, CT As a Healthcare Financial/Actuarial Lead Associate you will contribute to a wide variety of complex ... for Employers, we will consider for employment qualified applicants with arrest and conviction records . At WTW, we trust you to know your work and the people, tools… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… more
- Molina Healthcare (NY)
- …AM to 5 PM EST (No weekends or Holiday) **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, ... in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs… 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