- Takeda Pharmaceuticals (New York, NY)
- …launch experience + In-depth knowledge of buy-and-bill reimbursement models and payer dynamics + Skilled in complex biologics **TRAVEL REQUIREMENTS:** + Willingness ... to travel up to 50% of the time, inclusive of conferences on weekends, overnight programs as well as attendance at key internal meetings Individual must reside within territory boundaries given the extensive travel arrangements of this role. **More about us:**… more
- Anthony Jordan Health Corp (Rochester, NY)
- …Specialistwill ensure to: . Create systems that reach out to roster patients from our payer groups as well as patients whom have not accessed care at Jordan for ... greater than 12 months. . Creates work flows, analyzes data, and communicates with payers around rosters of Jordan patients. . Facilitates the organization's outreach to new patients to reduce barriers to first appointment, improves in-reach to patients whom… more
- Datavant (Albany, NY)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- Molina Healthcare (Syracuse, NY)
- …**E** **N** **C** **E:** + 1-3 years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, Procurement, ... Project Management, or Account Management + Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas. + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot tables, v-lookup… more
- CVS Health (New York, NY)
- …Environment team, focusing on Non-Production Support: + Claims system: Health Rules Payer (HRP) + Enrollment systems: Market Prominence (MP) & Softheon The position ... requires collaboration with business, QA, release delivery, infrastructure, and vendor partners, driving system stability and maintaining code releases. Key Responsibilities + Monitor system upgrades. + Analyze defect reports across the Non-Production… more
- University of Rochester (Rochester, NY)
- …completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient ... identification to verify identity, provision of Financial Assistance Program, etc. + Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to… more
- Sumitomo Pharma (Albany, NY)
- …of combined experience in account management, sales, market access and/or payer marketing preferred + Key account management responsibility including contract ... negotiation and management required + Previous leadership experience required + Experience in managing ongoing specialty pharmacy service agreements preferred **Travel** + Desired location: New York, New Jersey, Delaware, Washington DC, Pennsylvania, Virginia,… more
- University of Rochester (Rochester, NY)
- …Assists in hiring, training and cross-training staff. + Assists leadership with payer audits, including quarterly Medicare and Medicaid Credit Balance reports and ... additional credit balance reports issued by external partners. + Reconciles client billing on a monthly basis. Assists with credit balance work queues as needed. + Assists in performing payment application activities, including but not limited to, posting… more
- Charles B. Wang Community Health Center (Queens, NY)
- …Establish linkage to external social services programs, specialist services and payer 's care management services + Participate in clinical service team ... meeting/activities + Update knowledge base relevant to service population + Perform other duties as assigned Minimum Qualifications : + Bachelor's degree (health care related preferred) + Bilingual in English and Chinese (Mandarin and Cantonese) required +… more
- City of New York (New York, NY)
- …care - Value-based care and Alternative Payment Models - Price transparency, All- Payer Claims Databases, and other employer-led strategies promote high-value care - ... Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research, analytical, and writing skills, with strong attention to detail - Ability to synthesize and present information on complex programs, policies, and research… more