- Evolent (Albany, NY)
- …+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Extract, manage, ... Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred :** + Bachelor's degree, preferably with a quantitative major (eg… more
- Rochester Regional Health (Rochester, NY)
- …structure: Data mining services interfacing with laboratory information systems, pharmacy , and other health information databases, Collaborates with vendors, and ... + Nursing license required if Bachelors is in Nursing; otherwise not required. PREFERRED QUALIFICATIONS + Bachelors in nursing preferred . + Masters in healthcare… more
- UPMC (Jamestown, NY)
- …care across the healthcare continuum, working with physicians, case managers, pharmacy , and behavioral health providers. + Provide expert referrals and connect ... practices for working with special needs populations in the public sector is preferred . + Strong attention to detail with excellent organizational skills. + High… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy , Registered Dietitian and Respiratory Therapist + Accepts responsibility ... and promotional opportunities. All Levels + Associates degree required. Bachelor's degree preferred . + Active NYS RN or Registered Dietician or Physical Therapist… more
- Amgen (Buffalo, NY)
- …in healthcare / scientific field that is not sales related ** Preferred Qualifications:** + Sales, marketing and/or clinical experience within pharmaceutical, ... biotech, diagnostics, healthcare insurance, pharmacy services, healthcare medical device or medical supply industries + Some experience and/or pre-graduate sales… more
- BriteLife Recovery (West Kill, NY)
- …payments due, insurance documents scanned to the appropriate ARS members and verifying pharmacy benefits and credit cards on file are provided to the appropriate ... years of experience working in the substance use treatment field. + Preferred Certified Recovery Specialist or Certified Family Recovery Specialist certificate. + … more
- Sanofi Group (Syracuse, NY)
- …information. + Excellent presentation skills + Experience with medical and pharmacy benefit products. + Empathetic listening skills + Language requirements: English ... required and bilingual Spanish preferred . + Requires technical skills to effectively navigate and...required within the assigned geography. + Valid Driver's License ** Preferred Qualifications** + Previous commercial and/or clinical experience with… more
- Molina Healthcare (Albany, NY)
- …Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3 ... or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC.… more
- Cardinal Health (Albany, NY)
- …streamline patient onboarding, qualification, and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... Bachelor's degree in related field, or equivalent work experience (~4 years), preferred + 2+ years of experience in the pharmaceutical/biotechnology industry or… more
- CDPHP (Latham, NY)
- …will work closely with all departments, such as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve ... school diploma or GED required. + Customer service experience preferred . + Experience working in a fast-paced high volume...Experience working in a fast-paced high volume call center preferred . + A background in health insurance claims and… more