• Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer plans and… more
    Mount Sinai Health System (08/08/25)
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  • Pharmacy Technician

    Molina Healthcare (Buffalo, NY)
    …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests… more
    Molina Healthcare (09/24/25)
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  • Pharmacy Access Rep III - Specialty

    University of Rochester (Rochester, NY)
    …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
    University of Rochester (09/21/25)
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  • Clinical Services Clerk

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …procedures to accomplish assigned tasks. **Job Summary:** Responsibility for assisting with the prior authorization process and with tasks to meet the clinical ... **Job Duties:** + Assist in preparation, organization, and communication regarding prior authorization requests. + Provide Help Desk support, where… more
    KPH Healthcare Services, Inc. (09/16/25)
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  • Pharmacy Access Representative III

    University of Rochester (Rochester, NY)
    …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
    University of Rochester (09/12/25)
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  • Pharmacy Coordinator

    Highmark Health (Albany, NY)
    …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments necessary to… more
    Highmark Health (09/09/25)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests ... the care plan of the member + Coordinates with providers regarding authorization activities + Coordinates communication between authorization clinical staff,… more
    Centers Plan for Healthy Living (07/15/25)
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  • Senior Product Owner - EMR

    CenterWell (Albany, NY)
    …and execution for our referral management and specialist network solutions, including prior authorization and related EMR-integrated capabilities. This role is ... Define and track KPIs related to referral throughput, network utilization, and prior authorization efficiency; use data to drive continuous improvement. +… more
    CenterWell (09/13/25)
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  • Clinical Communication Specialist

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …tasks. **Job Summary:** Responsibility for overseeing communication involved throughout the prior authorization process and assisting with tasks and goals ... and members. **Responsibilities** + Perform communication duties involved throughout the prior authorization process to maintain efficiency and timeliness +… more
    KPH Healthcare Services, Inc. (10/02/25)
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  • Ambulatory Office Assistant III

    Bassett Healthcare (Clinton, NY)
    …learning to the team and is a go to person for coworkers. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... signatures and form processing to meet Medicare regulations. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and… more
    Bassett Healthcare (10/03/25)
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