• Senior Clinical Programs Pharmacist

    CenterWell (Albany, NY)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates...Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years… more
    CenterWell (08/08/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience… more
    Humana (08/14/25)
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  • Case Management Assistant

    WMCHealth (Valhalla, NY)
    …PC Benefits: We offer a comprehensive compensation and benefits package that includes: + Health Insurance + Dental + Vision + Retirement Savings Plan + Flexible ... Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt- WMC Health Union: No Position: Full Time Hours: M-F 9-5p Shift: Day… more
    WMCHealth (08/02/25)
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  • Credentialing Specialist

    Northern Rivers Family Services (Albany, NY)
    …tasks assigned by CFO, Controller, Director of Revenue Cycle Management or AR Manager based on workload. You will report to the Chief Financial Officer, until ... for which provide billable services or are required to register with Medicaid/ Medicare based on their credential, department and position. + Work with organizational… more
    Northern Rivers Family Services (08/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases ... needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health , pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding… more
    Molina Healthcare (08/15/25)
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