- Walgreens (Bronx, NY)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- University of Rochester (Rochester, NY)
- …Chair of Medicine's Office for all faculty appointments, hospital privileging, and payer credentialing- - - Ensure completion of all requirements for timely ... new faculty, interviewing, contracts/recruitment, faculty appointment, hospital privileging, and payer credentialing Other Duties as assigned: - Supports seasonal… more
- Highmark Health (Albany, NY)
- …the Medical Policy department, other internal departments (eg, Operations, Provider Relations , Clinical Programs), and external vendors to ensure seamless policy ... data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical,… more
- Outreach Development Corporation (Richmond Hill, NY)
- …Team to provide financial data and insights for grant applications, donor relations , and fundraising initiatives. Investment Management + Contribute to the oversight ... coded and billed in compliance with healthcare regulations, and payer requirements (eg, Medicare, Medicaid, Managed Care Organizations, and Commercial/Private… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... client objectives, ensuring alignment with brand positioning and market needs. + Client Relations : Serve as a key point of contact for clients, guiding them through… more
- SUNY Upstate Medical University (Syracuse, NY)
- …outside departments and Patient Financial Services personnel in answering payer and/or patient questions. Responsible for developing/updating policies and procedures ... If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at ### or via email at ###@goer.ny.gov. more
- Molina Healthcare (Syracuse, NY)
- …resolution in line with policy and contractual guidelines. + Partner with provider relations , Health plans and appeals teams to address recurring dispute trends and ... provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing,… more
- Highmark Health (Albany, NY)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Charles B. Wang Community Health Center (Queens, NY)
- …and ability to utilize the care plans + Communicate and establish effective working relations with care team + Advocate and work with patient and patients' family to ... Establish linkage to external social services programs, specialist services and payer 's care management services + Participate in clinical service team… more
- HCR Home Care (East Syracuse, NY)
- …and cost-effectively as possible, to achieve positive patient outcomes regardless of payer . This role is also highly focused on Aide retention operates within ... Care Aides, including reviewing Aide productivity, performance management, employee relations , and disciplinary/counseling. + Assist in completing annual performance… more