• Staff VP Specialty Pharmacy Clinical Operations

    Elevance Health (New York, NY)
    …and compliance requirements, including those relevant to specialty pharmacy and healthcare services. + Demonstrated ability to develop and implement strategies that ... external stakeholders. + Strong analytical and problem-solving skills to address operational challenges and optimize processes. + Proven capability in driving… more
    Elevance Health (08/27/25)
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  • Encounter Data Management Professional

    Humana (Albany, NY)
    …and procedures as well as compliance guidelines. Will support achieving operational and compliance key performance indicators. In addition, the associate will ... (837P/I/D, 999, 277, 835, 270/271, 834) + Demonstrated ability to identify process gaps and recommend solutions independently + Self-directed with initiative to… more
    Humana (08/16/25)
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  • Denials Specialist

    WMCHealth (Hawthorne, NY)
    …Care staff as needed + Provides denial trends to Billing Functional Leader for operational improvement + Works with Local System Coding leaders to determine ... and recovery, while maintaining the overall integrity of the denial process . Responsibilities: + Coordinates all data collection, analysis, appeal, write-off and… more
    WMCHealth (08/02/25)
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  • Manager, Inbound Operations (Day Shift)

    Cardinal Health (Whitestone, NY)
    …Cardinal Health, we're developing the innovative products and services that make healthcare safer and more productive. Join a growing, global company genuinely ... inbound/outbound processing, including receiving, put away, and returns to achieve operational efficiency and safety. Through successful operational and people… more
    Cardinal Health (08/27/25)
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  • Manager Software Engineering - AI Platforms…

    Highmark Health (Albany, NY)
    …oversight of all aspects of the application product life cycle to ensure operational excellence and continuous improvement of processes. + Contribute thought ... teams, and managing vendors, all while championing software development and operational excellence through Agile and Lean practices to deliver market-differentiated… more
    Highmark Health (08/08/25)
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  • Scientist: ELISA

    ThermoFisher Scientific (East Syracuse, NY)
    …for the testing of raw materials, excipients, biologics and other modalities in- process , drug substance, and drug product samples. The candidate will execute nonGMP ... Perform testing of study samples to support upstream and downstream manufacturing process development, characterization, and process improvements. * Document and… more
    ThermoFisher Scientific (07/26/25)
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  • Leader, Claims Operations

    MVP Health Care (Schenectady, NY)
    …a healthier future for everyone - which requires innovative thinking and continuous improvement . To achieve this, we're looking for a Leader, Claims Operations, to ... join #TeamMVP. If you have a passion for leadership, team development and operational excellence this is the opportunity for you. **What's in it for you:** + Growth… more
    MVP Health Care (08/31/25)
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  • Revenue Integrity Analyst

    Catholic Health (Buffalo, NY)
    …revenue cycle process and 5) Assist in the analysis and operational set-up associated with new technology, CPT-4 codes and clinical trials. Responsibilities: ... reconciliation 3) Assist in the implementation of revenue cycle operational improvements in response to problems and denials 4)...aspects of the revenue cycle + Proven experience with process analysis and improvement KNOWLEDGE, SKILL AND… more
    Catholic Health (08/27/25)
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  • Associate Director, Channel Strategy and Patient…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …Channel Strategy and Patient Affordability will serve as a key strategic and operational leader within the team. This role is responsible for proactively designing ... + **Proactive Program Optimization:** Own the end-to-end performance management process for affordability and channel programs across in-line brands and… more
    Otsuka America Pharmaceutical Inc. (08/19/25)
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  • Senior Engineer Product Safety

    GE Vernova (Schenectady, NY)
    …Program Management Teams to actively drive the execution of the Product Safety process . + Contribute to the continuous improvement of Product Safety methods ... is a cross-functional engineering discipline centered on an approach, mindset, and process . All activities that consider both the business and the technical needs… more
    GE Vernova (06/07/25)
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