- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- WMCHealth (Valhalla, NY)
- Medical Assistant (GRANT FUNDED) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: OB/GYN ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29898) Internal Applicant link Job Details: Family Planning Medical Assistant Position Westchester Medical Center Locations:… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- CVS Health (New York, NY)
- …in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- Cardinal Health (Albany, NY)
- …interpreting EOBs preferred + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding preferred + Knowledge of medical terminology + Familiar with ... offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off plan + Health savings account… more
- Mount Sinai Health System (New York, NY)
- …direction and leadership of operational, business, financial activities of the medical practice. This includes incorporation of Mount Sinai Doctors Downtown's ... optimization and innovative strategies for the practice. **Qualifications** 5 years medical insurance experience including medical office administration, benefit… more
- Sedgwick (Syracuse, NY)
- …Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | NY Medical Only Claims | Syracuse, NY Are you looking for an impactful job ... empathic and solution-focused. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + **Adjusts medical -only claims** and minor lost-time workers compensation claims under… more
- Mount Sinai Health System (New York, NY)
- …in the assigned departments **Qualifications** High School Diploma Administration in a medical setting Non-Bargaining Unit, ABH - West 8th Primary Care - BIMG, ... Beth Israel Medical Group **Responsibilities** 1. Collects patient and insurance information...etc 18. Assists with and oversees that the batching / coding for each voucher is done daily and delivers… more
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