• Utilization Management Reviewer I/II/III - RN,…

    Excellus BlueCross BlueShield (Utica, NY)
    …for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care. + Collaborates with hospital, home care, ... gaps in care. + Acts as a resource and liaison to the provider community in conjunction with Provider...and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application of contract… more
    Excellus BlueCross BlueShield (05/02/25)
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  • Member Advocate II (Bilingual)

    Centene Corporation (New York, NY)
    …highly preferred_** **Position Purpose:** Act as an advocate for members and a liaison between the Health Plan and Provider(s) to ensure availability and access to ... indicated in the grievance procedure. + Serve as primary contact and liaison between member advocacy groups, human services agencies, providers and State entities.… more
    Centene Corporation (04/11/25)
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  • School Based Health Ambulatory Office Assistant II…

    Bassett Healthcare (Stamford, NY)
    …meet patient satisfactions. Takes a lead in service recovery and acts as a service liaison in the moment. Acts as a trainer for incoming new staff in all reception ... reports, lab work or films related to appointment are available for the physician at the time of the appointment using available resources. Language barriers are… more
    Bassett Healthcare (03/14/25)
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  • Medical Director, Commercial Line of Business

    Excellus BlueCross BlueShield (Rochester, NY)
    …committees or workgroups as requested by leadership. They also act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, ... on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent...of Medicine or Doctor of Osteopathic Medicine. + The Physician is not the subject of any pending professional… more
    Excellus BlueCross BlueShield (05/03/25)
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  • Field Based Reimbursement Manager

    Adecco US, Inc. (New York, NY)
    …In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver ... support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient support services. This… more
    Adecco US, Inc. (05/01/25)
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  • Administrative Assistant II

    Bassett Healthcare (Cooperstown, NY)
    …and rescheduled appointments on the Daily Schedules according to the Bassett Physician Group policies and procedures as determined through the implementation of the ... and schedules appointments in accordance with departmental guidelines. Serves as a liaison between the Department and the health insurance plans during the review… more
    Bassett Healthcare (04/08/25)
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  • Surgical Scheduling Coordinator I - Surgery

    Mount Sinai Health System (New York, NY)
    …pre-authorizations for procedures and diagnostic tests as requested by the physician . **Qualifications** + High School diploma. Associates Degree preferred + 2 ... Medical Terminology preferred + Certificate in ICD-9 and CPT Coding preferred Non-Bargaining Unit, 862 - Surgery - ISM,...scheduled surgery or procedure date. + Serves as a liaison between referring physicians and surgeons for the communication… more
    Mount Sinai Health System (04/03/25)
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  • Senior Information Security & Risk Engineer

    Cardinal Health (Albany, NY)
    …systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides clinically-proven medical products ... standards and process are in place + Serve as liaison to other Cardinal Health teams to ensure knowledge...Partner with developers to mentor and advise on secure coding and SDLC practices, define test cases and ensure… more
    Cardinal Health (03/12/25)
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  • Administrative Coordinator II-(Executive Support)…

    Mount Sinai Health System (New York, NY)
    …Support** + Provide executive support for the VP (eg scheduling physician /scientist meetings, donor meetings, maintain VP's calendar in Microsoft Outlook, prepare ... etc.). Field and respond to phone and email inquiries. Serves as the primary liaison with the offices of the trustees and principal and major gift donors from… more
    Mount Sinai Health System (02/12/25)
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