- Evolent (Albany, NY)
- …patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a ... team in the analysis and interpretation of cost and utilization data ( medical and pharmaceutical) to explain potential upside/downside risks of a given… more
- City of New York (New York, NY)
- …to avoid insurance policy cancellation, interview, review, and process reimbursement claims for related Medicaid reimbursement out-of-pocket medical expense and ... PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Medical Assistance Program (MAP) administers public health insurance programs, including… more
- City of New York (New York, NY)
- …Board. Division attorneys manage and litigate matters involving City employees whose claims for benefits are pending before the Workers' Compensation Board. They ... in preparation for hearings and evaluate the merits of claims . They regularly cross-examine fact witnesses as well as...cross-examine fact witnesses as well as all types of medical experts. Cases involve a wide variety of … more
- Pfizer (New York, NY)
- …forecasting, predictive modeling. + Consulting experience and experiences of analyzing patient/ claims data is highly desired. + Deep understanding of pharmaceutical ... product reimbursement process for both medical and pharmacy products. + Demonstrated ability in managing...sets. + Expertise of using common pharmaceutical and payer claims datasets (IQVIA LAAD) and copay/affordability data sources (CoverMyMeds,… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... clinical employees at various levels including pharmacists, pharmacy technicians, medical /clinical staff, and central prior authorization staff. External interactions… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- Elderwood (Fairport, NY)
- …leadership and collaborative team culture + Excellent training and professional development + Medical , Dental, Vision, 401K with match, and PTO + A chance to grow ... Life Safety certifications. If not certified arrange for training. + Obtain medical documentation required for Measles, Rubella and TST for applicable new hires.… more
- Walgreens (Smithtown, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Allied Universal (Buffalo, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- PSEG Long Island (Hicksville, NY)
- …one of your employment, you'll be offered several health-related benefits including medical , vision, dental, well-being and behavioral health programs. We also offer ... contracts for various projects including: (a) managing change orders, claims and back charges; + (b) asserting warranty ...for THC/Marijuana and such use is not a legitimate medical explanation for such a positive result. PSEG is… more