- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... + Extract and compile information from various systems to support executive decision-making + Mine and manage information from...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB… more
- Humana (Albany, NY)
- …processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key performance indicators. In addition, the ... associate will participate in cross functional teams and support analyzing business processes, error processing, issues and ticket creations with the product… more
- Molina Healthcare (Albany, NY)
- …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to ... + Partner with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets. **Applied Analytical … more
- University of Rochester (Rochester, NY)
- …projects. - Assist Residency/Fellowship Administrator(s) with didactics conference support on Thursdays, including conference attendance tracking, food ordering ... and set up/take down. - Coordinate and provide administrative support to the Program Faculty, Supervisor, and/or Assistant Director of Education. Anticipate needs… more
- WMCHealth (Valhalla, NY)
- …with regulatory guidelines, policies, and procedures. Responsibilities: + Operational Support : + Accurately prepare new and refill prescriptions, ensuring compliance ... refills, manage delivery logistics, and ensure updated billing information. + Support specialty medication adherence by monitoring refills and proactively managing… more
- NASCO (Albany, NY)
- …transactions, including technology agreements, and provides compliance guidance and support throughout the organization to ensure our products and services ... related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with...risks and provide practical solutions to complex issues to support our compliance programs + Ability to work effectively… more
- Humana (Albany, NY)
- …The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May ... 3 assists members, via phone or face to face, further/ support quality related goals. Investigates and resolves member and...and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS)… more
- Access: Supports For Living (Middletown, NY)
- …various payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing regulations for all ... assist with monitoring on participant outstanding balances + Provide credentialing management support working with program directors to identify when changes must be… more
- Pfizer (New York, NY)
- …access. The access marketer will advocate for reimbursement and policy approaches that support Brand uptake and performance. The US Market Access Marketer will be ... the development of the Customer/Brand engagement strategy for top accounts within Medicare , Commercial and other channels as appropriate based on clinical and… more
- WTW (New York, NY)
- …legal team. The candidate will provide general legal advice and contracting support , primarily to the Benefits Delivery and Outsourcing businesses within WTW. The ... candidate should be able to advise business leaders on risks, provide legal support to new and changing business initiatives, and independently handle all manner of… more