- Pfizer (Albany, NY)
- …leaders or high influence customers in large group practices, hospitals, or managed care organizations preferred. + Strong organizational and analytical skills ... reports payments and other transfers of value to health care providers as required by federal and state transparency...provide government agencies with information such as a health care provider's name, address and the type of payments… more
- Humana (Albany, NY)
- …a Health Plan or provider-based industry + Knowledge and experience in health care / managed care regulatory environment **Additional Information** To ensure ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Albany, NY)
- …continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ... clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall… more
- KPH Healthcare Services, Inc. (Oneonta, NY)
- …Years of practice in a specialty pharmacy setting + 2-3 Years of experience in a managed care setting + 3-5 Years of practice in a traditional retail setting ... and procedures as it relates to the provision of the highest quality health care service to our patients. Facilitate Clinical Management Programs in a call center… more
- Actalent (New York, NY)
- …management, geriatrics, triage, and EMR. Additional Skills & Qualifications + Experience in care management, managed care , rehabilitation. + Union position ... once converted to permanent employee (1199). + Sign-on bonus or student loan forgiveness once a permanent employee. + 403b and employer-paid pension. Work Environment Morning Shift (7:30 am - 3:30 pm) Evening (3:30 pm - 11:30 pm) Overnight (11:30 pm - 7:30 am)… more
- WMCHealth (Valhalla, NY)
- …and prepares specializedreports. + Perform telephonic clinical reviews to Behavioral Health Managed Care Organizations in order to obtain ongoing authorization. ... Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt-WMC Health Union: No Position: Full Time Hours: M-F,… more
- Owens & Minor (White Plains, NY)
- …reviews. + Maintaining a high level of knowledge on Byram's products, services and Managed Care Contracts. + Working closely with the Operations Team to ensure ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- Bassett Healthcare (Delhi, NY)
- …responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. Answer screen and triage phone calls ... place by providing administrative and/or clinical support to ambulatory patient care teams through excellent customer service, attention to detail, and interpersonal… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …knowledge of HIPAA Confidentiality laws. + Quick learner with ability to grasp managed care procedures and claims payment policies. + Detail-oriented and ... Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding...and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of… more
- Bump Boxes (Rochester, NY)
- …+ Insurance verification + Prior Authorization + Billing experience - Medicare, Medicaid, or Managed Care + Medical Office + Healthcare background + CPAP and ... Medical Equipment company offers quality service, quality equipment and great follow up care to its customers. We provide competitive wages and benefits in a… more