- CVS Health (Ballston Spa, NY)
- …service setting * Previous experience as a Pharmacy Technician * PTCB National Certification * Prior driving experience **Education** Verifiable High School ... * Ability to drive for long periods of time **Preferred Qualifications** * Prior experience in the long-term care industry * Previous experience in a pharmacy,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- Rochester Regional Health (Rochester, NY)
- …QUALIFICATIONS: + BSN from an accredited nursing school program + Experience in + National Certification + Prior experience in ED preferred UNION: NYSNA - New ... York State Nurses Association (GH) Note: Not all per diem roles are union eligible EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or… more
- University of Rochester (Rochester, NY)
- …services and to ensure that the appropriate referrals are received prior to service. **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the supervisors ... Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with Transfer… more
- Intermountain Health (Albany, NY)
- …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** + ... regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we… more
- Molina Healthcare (Rochester, NY)
- …sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk ... adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. + Calibrate risk adjustment models based on state programs + Develop and lead… more
- Evolent (Albany, NY)
- …team is made up of analysts, coders, and informatics professionals who work with national health plans to ensure that prior authorization and financial coding ... Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to… more
- Zurich NA (New York, NY)
- National Account Excess Casualty Underwriter (Senior or AVP) 123751 Zurich is seeking an experienced National Account Excess Casualty Underwriter (Senior or ... in the office/market three days per week. As a National Account Excess Casualty Underwriter (Senior or AVP) you...a qualified list of opportunities 90 to 120 days prior to effective date. + Developing strong broker and… more
- City National Bank (New York, NY)
- …is a key colleague in ensuring a positive onboarding experience for all our City National 's clients. They also serve a critical role as a key control point to ensure ... Set up exceptions and approve trailing/ missing documents * Prior to closing, coordinate with Funding & Boarding to...for bonus and/or commissions. *Benefits and Perks* At City National , we strive to be the best at whatever… more
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