- Novo Nordisk (New York, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer … more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Strategy will own specific accounts and business segments (either IDNs, GPOs, Payer ) for the purpose of strategy development. The Director, Contract Strategy is ... a proven leader supporting the development, refinement of Payer /GPO contracting strategy for the Ophthalmology portfolio, including traditional rebate agreements and… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... with the prior authorization process preferred. Working knowledge of third party payer plans and how they are processed, of medication reimbursement, including the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …within Patient Engagement Center (PEC), under the direct supervision of the Manager . The Referral and Authorization Specialist (RAS) is responsible for scheduling ... and resource/provider schedules. Makes daily work assignments for teams. + Assists Manager in providing direct support to assigned team members, supporting team… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …for a variety of billing as assigned individually by the accounts receivable manager . Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA, ... amounts, etc to assure accuracy before sending to insurance payer . + Sends reviewed superbills via electronic or paper...days). + Work projects as assigned by Accounts Receivable Manager . + Participates in any audits as needed. +… more
- Rochester Regional Health (Rochester, NY)
- …patient services. Under the general supervision of the Patient Access Services Manager , this position performs imperative duties including registration pre and full, ... insurance coverage, eligibility, and benefits; complete required Medicare and payer documentation; collect patient-pay balances; resolve registration errors; and… more
- University of Rochester (Albany, NY)
- …are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve ... Receivable Management. **ESSENTIAL FUNCTIONS:** With general direction of the Manager /Supervisor/Lead: + 40% Follows department policies and procedures and maintains… more
- Catholic Health (Kenmore, NY)
- …for delays of treatment. This individual also works to maintain third-party payer relationships related to Utilization Review Activities. This includes, but is not ... license + Holds, or will obtain within one year of hire, Certified Case Manager (CCM) + Certification in a Nationally Recognized Utilization Review Criteria set is… more
- Ellis Medicine (Schenectady, NY)
- …revenue cycle functions, including coding and billing guidelines and government/ payer regulations. + Working knowledge of healthcare revenue cycle functions, ... including coding and billing guidelines and government/ payer regulations. SECTION III; MAKING ELLIS EXCEPTIONAL (MEE) BEHAVIORS & STANDARDS SECTION IV:… more
- Oracle (Albany, NY)
- …delivery through powerful, AI-driven workflow innovation. Our Autonomous Reimbursement, Payer , and Interoperability teams are developing advanced solutions to ... the Role:** We are seeking an accomplished Senior Principal Technical Program Manager (TPM) to lead and drive critical project reviews, security operation… more