- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Goodwill of the Finger Lakes (Rochester, NY)
- …billing information. Provide assessments and progress notes that will substantiate associated insurance claims . + Provide Oversight on Medical Billing for OT and ... Claims - 5% + Through EMR system, respond to any rejected claims and provide necessary details to resolve. + Collaborate with interdisciplinary teams. 5% +… more
- New York State Civil Service (Albany, NY)
- …only Case Manager in the NYS Segment.* Work up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
- Highmark Health (Albany, NY)
- …data. This position routinely utilizes data including, but not limited to: medical /surgical physician and institutional claims and encounters, clinical data, ... robust analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will… more
- Norstella (Albany, NY)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. * Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Lead cross-functional global launch planning, ensuring alignment across R&D, medical affairs, market access, and regional teams. Drive pre-launch excellence ... cultivate advocacy, shape perception, and inform strategy. Partner with medical affairs to align scientific narratives and ensure consistent...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- NBC Universal (New York, NY)
- …and application, worker classification, workforce management, discrimination and harassment claims , family and medical leave laws, restrictive covenants, ... investigations of employment-related and other types of complaints, ensuring that claims are addressed promptly, thoroughly and appropriately + Draft and negotiate… more
- JPMorgan Chase (New York, NY)
- …compiling, manipulating, and synthesizing large quantities of health-related data - including medical and pharmacy claims , survey data, and biometrics. You will ... specific experience in a payer, provider, or research setting that actively used medical and pharmaceutical claims data, including standard groupers, common data… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …+ Experience working with Oncology datasets, including prescription, sales data and claims /patient level data sets inclusive of pharma data sources such as IQVIA, ... and the business + US Buy and Bill or Medical Benefit Market Access experience is required + Technical...) + Experience working with prescription, sales data and claims /patient level data sets inclusive of pharma data sources… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …of the global regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations, etc.) to develop global regulatory plans, address ... a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more