- MTA (Jamaica, NY)
- …review & response, analysis, emergency inspection, accident investigation and claims investigation. REQUIRED EDUCATION AND EXPERIENCE: + Bachelor's Degree in ... A record of more than ten sick days without medical documentation in two of the last three years...an interview due to the competitive selection process. A medical examination and safety-sensitive drug/alcohol test may also be… more
- Rochester Regional Health (Rochester, NY)
- …and development capabilities allows you to create impactful, comprehensive sports medical programs for the organization and patients. RESPONSIBILITIES: + Program ... athletes requiring on-field and clinical experience; coordinate/schedule physical exams and medical referrals for athletes to determine ability to compete + Budget… more
- Guthrie (Cortland, NY)
- …contractual reimbursement requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as appropriate + Documenting ... plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes… more
- Molina Healthcare (Yonkers, NY)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background + Proactively identify… more
- Trinity Health (Albany, NY)
- …company to complete the required pre-authorization process. Validates payable diagnosis codes/ medical necessity and prior therapy requirements according to FDA and ... accounts through entire revenue cycle to ensure copay program claims , payments, denials, and other assistance programs are being...with the treatment team on the financial implications of medical intervention to the patient and the health care… more
- Norstella (Albany, NY)
- …in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. * Proven ability ... Resilience, Mettle, and Perseverance 05: Humility, Gratitude, and Learning **Benefits:** * Medical and Prescription Drug Benefits * Health Savings Accounts (HSA) or… more
- Colgate-Palmolive (New York, NY)
- …and impactful messages for diverse audiences + Ensure all scientific claims are substantiated, accurate, and compliant with regulatory guidelines + **Academic ... Minimum of 10 years of experience in scientific affairs, medical affairs, or a related scientific role within the...affairs, or a related scientific role within the pharmaceutical, medical device, or consumer healthcare industry. + Minimum of… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... maintain professional contact with the Bronx Care Health System, community medical providers and other community organizations promoting health and social… more
- Mohawk Valley Health System (Utica, NY)
- …of insurance and benefit information for patients receiving inpatient medical , inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure ... patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all… more
- Whitney Young Health Center (Albany, NY)
- …privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health ... interprets, and accurately dispenses prescribed medications. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills,… more