- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims, pharmacy , clinical, contract, medical management , financial, administrative and ... provider analytics related to revenue modeling, managed care contracting, population management , case management , clinical or financial decision report +… more
- Walgreens (Valhalla, NY)
- …to cash management . + Assures proper operation and maintenance of pharmacy department systems and equipment. + Maintains awareness of third party pharmacy ... pharmacy department daily schedule of activities. **Business Performance Management ** + Prepares, submits, and files various reports and records required… more
- CVS Health (Albany, NY)
- …of experience in managed care which may include PBM, Pharma, market access, account management , specialty pharmacy , or health plan experience** + **MBA or ... weight management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences of our… more
- Walgreens (Buffalo, NY)
- …to cash management . + Assures proper operation and maintenance of pharmacy department systems and equipment. + Maintains awareness of third-party pharmacy ... requirements (adverse event reporting, data and inventory reporting, clinical management ). Reaffirms with all pharmacy department personnel, regularly,… more
- Walgreens (Amherst, NY)
- …+ Supports Pharmacy during busy periods, including serving as a pharmacy technician, when necessary. **People & Performance Management ** + Primarily ... end of the store and making recommendations on the overall operations of the Pharmacy and Retail Store. Supports Store Manager with the overall operation of the… more
- Mallinckrodt Pharmaceuticals (New York, NY)
- …and government payers + Background in Access & Reimbursement, Payer account management , Specialty Pharmacy distribution, Patient Services, Case Management ... Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements. + Coordinating case pull-through with the… more
- Molina Healthcare (Yonkers, NY)
- …group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . * Assumes ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Health Advocates Network (Albany, NY)
- …writing. 8. Work closely with investigative staff, medical coordinators, medical experts, pharmacy consultants, attorneys, and management as part of the ... including investigative stakeholders, licensees, complainants, and the general public. ** Benefits :** -Medical -Dental -Vision -Term Life -Short-Term Disability Coverage… more
- Cardinal Health (Albany, NY)
- …customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. ... Cardinal Health Sonexus Health Pharmacy Services helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain… more
- Sharecare (Albany, NY)
- …parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending ... from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card… more