• Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Buffalo, NY)
    …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)… more
    Molina Healthcare (08/27/25)
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  • Field Medical Director, Oncology

    Evolent (Albany, NY)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Albany, NY)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (07/30/25)
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  • Authorization Coordinator

    Catholic Health Services (Melville, NY)
    …which requires communication with patients, physicians, office staff, clinicians, and insurance companies to obtain and accurately record patient demographic and ... insurance information. The role performs ...National and Local Coverage Decisions. + Maintain knowledge of Medicare , Medicaid and third-party payer regulations and hospital charging… more
    Catholic Health Services (10/03/25)
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  • Referral & Authorization Specialist - Cancer…

    Glens Falls Hospital (Glens Falls, NY)
    …Make* * * Attention all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to help you advance your ... at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This...of CPT and ICD coding desired * Knowledge of Medicare and third-party payer regulations desired * Excellent computer,… more
    Glens Falls Hospital (10/01/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …You Can Make* Attention all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to help you advance your ... at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This...of CPT and ICD coding desired * Knowledge of Medicare and third-party payer regulations desired * Excellent computer,… more
    Glens Falls Hospital (10/01/25)
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  • Imaging Services Representative - Part Time

    Catholic Health Services (Melville, NY)
    …services. The Representative will ensure the patient has active insurance coverage, collect demographic information, acquire and explain benefit information, ... daily tasks + Interview patients to verify and/or obtain demographic, insurance , employer and general encounter information. + Confirm with the patient/responsible… more
    Catholic Health Services (09/24/25)
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  • Financial Clearance Center Representative

    Catholic Health Services (Melville, NY)
    …Financial Clearance Representative works with the various components of the insurance verification, insurance notification and authorization, and financial ... which requires communication with patients, physicians, office staff, clinicians and insurance companies to obtain and accurately record patient demographic and … more
    Catholic Health Services (09/13/25)
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  • Imaging Services Representative

    Catholic Health Services (Melville, NY)
    …services. The Representative will ensure the patient has active insurance coverage, collect demographic information, acquire and explain benefit information, ... daily tasks + Interview patients to verify and/or obtain demographic, insurance , employer and general encounter information. + Confirm with the patient/responsible… more
    Catholic Health Services (09/12/25)
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  • Financial Clearance Specialist - Cancer Center

    Stony Brook University (Stony Brook, NY)
    …with your application for consideration.** **Preferred Qualifications:** Healthcare or insurance industry experience. Experience with Medicare , Social Security ... pharmaceuticals and recurring services that oncology patients require. + Performs insurance verification, and validation of medical necessity for certain services. +… more
    Stony Brook University (09/12/25)
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