- Evolent (Albany, NY)
- …opportunity sizing. **Healthcare Industry Experience:** Familiarity with clinical workflows, payer operations, or healthcare AI applications is preferred. **Why Join ... Us?** Opportunity to drive impactful AI initiatives in a rapidly evolving industry. Collaborative environment with cross-functional teams, including data science, engineering, and operations. Competitive compensation, benefits, and opportunities for… more
- Guthrie (Binghamton, NY)
- …necessary. Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay range for this ... position is $31.00 - $45.26 per hour. #LI-RB1 Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the… more
- Rochester Regional Health (Rochester, NY)
- …knowledge of reimbursement systems (MS-DRG), as well as federal, state and payer -specific regulations and policies pertaining to documentation, coding and billing. + ... Demonstrates advanced clinical expertise and extensive knowledge of complex disease processes in an inpatient setting. + Exhibits excellent observation skills, analytical-critical thinking, problem solving, plus effective oral and written communication skills.… more
- Highmark Health (Albany, NY)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... professionalism, we're hired as strategic and creative partners by our biopharmaceutical clients to drive category/brand awareness and growth. We offer in-office (NYC) and hybrid job opportunities. Position Overview The VP, CX Strategy will be an experienced,… more
- Glens Falls Hospital (Glens Falls, NY)
- …interdepartmental barriers to collecting cash. * Maximizes the use of payer relation's contacts to collect cash. *Education/Experience:* . Associates or Bachelors ... degree from an accredited college or university recommended. . Three to five years of healthcare business office experience required . One (1) or more years supervisory experience in billing and collections in a medical group or in hospital billing preferred… more
- NTT DATA North America (Albany, NY)
- …+ Minimum 3 years of experience working in a MES environment or Commercial Healthcare Payer + Minimum 3 years managing three (3) or more projects with teams of ... greater than three resources + Needs to be located in the Albany area, or commutable to Albany, NY 50% of the time. **Preferred Skills** **:** + Solid working knowledge of Microsoft Office application suite + PMP or equivalent project management certification… more
- Whitney Young Health Center (Albany, NY)
- …pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... inventory reporting, clinical management). + Reaffirms with all pharmacy department personnel, regularly, their obligations regarding prescription dispensing only in good faith. + Manages the operation of the pharmacy department. + Ensures the pharmacy… more
- Chiesi (New York, NY)
- …a cross-functional team to ensure the marketplace understands clinical data, payer access information and company resources to support prescribing, initiation, and ... continuity of therapy for patients. The KAM role is paramount to Chiesi's future success as we strive to become a leading, global rare disease company. This role requires a unique set of skills that demands excellent customer engagement & communication skills,… more
- Northwell Health (Staten Island, NY)
- …clinical course + Ensures compliance with current state, federal, and third party payer regulations + Documents the case management process in the medical record; ... completes and documents a care coordination assessment on the patient + Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments + Completes applicable areas of the patients discharge instruction… more