- Whitney Young Health Center (Albany, NY)
- …guidelines, policies and procedures. The Staff Pharmacist will also support the Pharmacy Manager in leading and directing the pharmacy team, by being accountable and ... + Supervises pharmacy department team members in conjunction with the Pharmacy Manager to assure performance of required functions and adherence to WYH policies… more
- HCR Home Care (Rochester, NY)
- …referral sources. Essential Functions In addition to the essential functions of an RN Case Manager , the RN Nurse Preceptor may be required to : + Provide in - home ... + Participate in case conference/staff meetings with preceptee and manager weekly during orientation period. + O ther duties...Knowledge of State and Federal regulations, as well as payer guidelines. + Current, unexpired NYS Driver's License .… more
- Amgen (New York, NY)
- …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... grids daily for accuracy and provides nightly comments/updates to Project Manager as needed Client Partnership + Initially provides information for project… more
- Rochester Regional Health (Rochester, NY)
- …potential inpatient medical necessity denials. Review patient class in the event manager , assist with LOC determination retrospectively, and changes patient class as ... and State regulations (DOH, Medicaid/Medicare) + Knowledge of third party payer and/or managed care payment principles helpful + Case Management Certification… more
- AccentCare, Inc. (Poughkeepsie, NY)
- …and resolves payroll and billing questions under direction from the Client Service Manager . + Functions as liaison for Field Supervisors in communicating with ... payer Case Management teams + Supports recruiting and onboarding needs of team Why AccentCare? more
- University of Rochester (Rochester, NY)
- …Receivable Management. **ESSENTIAL FUNCTIONS** **_With general direction of the Manager /Supervisor/Lead:_** 40% + Follows department policies and procedures and ... accurate billing. + Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of… more
- CenterWell (Albany, NY)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- AccentCare, Inc. (Brooklyn, NY)
- …and resolves payroll and billing questions under direction from the Client Service Manager . + Functions as liaison for Field Supervisors in communicating with ... payer Case Management teams + Supports recruiting and onboarding needs of team Why AccentCare? Patient Service Coordinator Qualifications: + Previous home health care… 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 ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more