• (USA) Pharmacy Tech Sam's

    Walmart (Cheektowaga, NY)
    …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images alerting patients to inventory that is out… more
    Walmart (10/09/25)
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  • Automotive Warranty Administrator

    Leonard Bus Sales, Inc. (Rome, NY)
    …available after your first day + Great benefit package including multiple medical options, dental, vision, 8 paid holidays, flexible spending, dependent care, and ... bonus Responsibilities: + Ensures the efficient processing of all warranty claims within company and manufacturer guidelines; ensuring maximum profitability and… more
    Leonard Bus Sales, Inc. (09/25/25)
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  • Associate Director, Field Strategy, Nephrology

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, accidental ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Data Science Analyst II - Enterprise Data…

    Mount Sinai Health System (New York, NY)
    …**Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, ... care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a… more
    Mount Sinai Health System (11/14/25)
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  • Supply Chain Analyst (Data Science Analyst I)…

    Mount Sinai Health System (New York, NY)
    …**Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a… more
    Mount Sinai Health System (11/11/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
    Molina Healthcare (11/14/25)
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  • Quality Improvement Specialist- RN

    WMCHealth (Poughkeepsie, NY)
    …practice pattern, a potential lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies ... leadership, direction and assistance to the hospital and the medical staff to achieve the goals of the Performance...etc.) and alerts the department director, administration, and the claims manager. Initiates a more thorough review to clarify… more
    WMCHealth (11/01/25)
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  • Physician - Psychiatrist - Part Time

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …has a 15 hour work week. Duties A Staff Psychiatrist at the Syracuse VA Medical Center has a number of responsibilities: 1. They are charged with delivering the best ... possible Medical care to our veteran patients. Care must be...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …Technology (CPT), insurance policies, permissible and non-permissible requests, necessary and appropriate medical terminology to use in order for claim to be ... any discrepancies and/or answer any questions. + Escalates case management when medical assessment is needed. Prioritizes referral requests using medical more
    University of Rochester (11/19/25)
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  • Physician - Emergency Medicine- EDRP…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …critical. There are back up services available in surgery, psychiatry, OB/GYN, and medical subspecialties. Patients will be admitted to the in-patient wards and care ... examinations and initiates treatment when indicated for acute and chronic medical conditions Orders diagnostic laboratory and imaging tests as needed. Interprets… more
    Veterans Affairs, Veterans Health Administration (11/16/25)
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