• Patient Access Liaison

    WMCHealth (Valhalla, NY)
    …- $34.04 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29389) Internal Applicant link Job Details: Job Summary: The purpose ... for registration + Demonstrate professional telephone etiquette when answering internal and external calls. + Interviewing the patient/patient representative for… more
    WMCHealth (05/20/25)
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  • Referral and Pre-Certification Specialist…

    Mount Sinai Health System (Richmond, NY)
    …in processing prior-authorizations and referrals is preferred. + Understands requirements for Internal WMG referrals as well as Outgoing Referrals. + Understands the ... **Responsibilities** + Obtains referral and/or precerts for patients for internal and external appointments and/or orders. + Communicate information pertaining… more
    Mount Sinai Health System (05/20/25)
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  • Sr Physical Therapist

    WMCHealth (Valhalla, NY)
    …- $58.83 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29398) Internal Applicant link Job Details: Job Summary: The Physical ... Treatment is provided in the hospital, rehabilitation department and or outpatient setting. Does related work as required. Responsibilities: + Takes patient… more
    WMCHealth (05/20/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …state policies, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will ... clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical… more
    Humana (05/14/25)
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  • Data Science Analyst III-MSH - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …financial, administrative and other corporate data from both modeled and disparate internal and external sources. a. Works with departmental staff to identify ... any ongoing projects. 3. Takes a proactive role as liaison/analyst for internal stakeholders, understands their needs and translates them into reporting and analytic… more
    Mount Sinai Health System (05/10/25)
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  • Assistant Director of Case Management/Utilization…

    Mount Sinai Health System (New York, NY)
    …departments achieve their goals and objectives, and is expected to engage internal and external stakeholders in the improvement of clinical case management, outcomes ... with major payers. 7. Develops relationships and seeks feedback from internal and external stakeholders regarding the implementation of department activities to… more
    Mount Sinai Health System (04/04/25)
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  • Director - Hospital Billing - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …related to healthcare billing (hospital and professional), adhere to internal policies, regulatory requirements, and contractual obligations. This leadership ... and issue resolution. The Director will collaborate with various internal departments, including legal, finance, and operations, to develop strategies… more
    Mount Sinai Health System (03/29/25)
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  • Psychiatric Social Worker/Lmhc

    WMCHealth (Poughkeepsie, NY)
    …$55.00/HR Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/27457) Internal Applicant link Job Details: The Psychiatric Social ... of social work assessments, interventions, planning and relevant communications with internal and external stakeholders + Participates as a member of an… more
    WMCHealth (03/20/25)
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  • Senior Manager, Real Estate Services Lease…

    Mount Sinai Health System (New York, NY)
    …administration and real estate management functions while recommending improvements to internal control process. **FINANCIAL DUE DILIGENCE** + Assists in reviewing ... AUDIT / FINANCIAL REPORTING AND SPECIAL PROJECTS** + Work closely with internal and external auditors' in meeting their audit requirement during interim and… more
    Mount Sinai Health System (03/08/25)
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  • Reimbursement Analyst I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …provider contracts are executed timely, accurately, and in compliance with all internal policies and procedures. * Accountable to have all rate calculations peer ... aligned to various methodologies * Contractual Maintenance through supporting all internal and external audits related to physician, ancillary and facility… more
    Excellus BlueCross BlueShield (05/30/25)
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