• Pharmacist, Clinical/Medication Therapy Management…

    Molina Healthcare (Syracuse, NY)
    …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... requests as needed. * Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective health care. * Assists in coordination of care for pharmacy-related issues… more
    Molina Healthcare (09/24/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Buffalo, NY)
    …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal or… more
    Molina Healthcare (09/12/25)
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  • Patient Service Associate

    Albany Medical Center (Albany, NY)
    …the specialty they are assigned. * Schedule follow up appointments, referrals and prior authorization for patient schedule visits as needed. * Communicate ... professionally and timely with all parties, including providers, patients, clinical care team, and insurance companies. * Answer incoming phone calls and direct appropriately to team members. * Conveys professional image by adhering to the established dress… more
    Albany Medical Center (09/09/25)
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  • LPN Care Coordinator - Hereditary Risk Program…

    Guthrie (Binghamton, NY)
    …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization + Collect necessary documentation and submit it to the ... Medication Cancellation notifications + Electronic Refill Requests + System generated Medication Authorization Request + Staff Messages + Provider In basket - when a… more
    Guthrie (09/09/25)
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  • LPN Care Coordinator - Cancer Center - Full Time

    Guthrie (Corning, NY)
    …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization * *Collect necessary documentation and submit it to the ... Cancellation notifications * *Electronic Refill Requests * *System generated Medication Authorization Request * *Staff Messages * *Provider In basket - when… more
    Guthrie (08/08/25)
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  • Patient Service Associate - Psych Outpatient…

    Albany Medical Center (Albany, NY)
    …the specialty they are assigned. + Schedule follow up appointments, referrals and prior authorization for patient schedule visits as needed. + Communicate ... professionally and timely with all parties, including providers, patients, clinical care team, and insurance company + Answer incoming phone calls and direct appropriately to team members + Conveys professional image by adhering to the established dress code.… more
    Albany Medical Center (08/08/25)
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  • Medical Office Assistant II

    Bassett Healthcare (Cooperstown, 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 ... reimbursement and regulatory compliance and patient care. When appropriate prior authorizations are obtained and documented appropriately within the referral.… more
    Bassett Healthcare (10/03/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + Completes the referral ... so that patients are always cleared for their appointment prior to their arrival. + Enters progress notes and...explaining to patient, assisting with scheduling and for completeness prior to office visit. + Anticipates, gathers and sends… more
    University of Rochester (09/09/25)
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  • Scheduling Coordinator-Heart Center

    Nuvance Health (Poughkeepsie, NY)
    …cardiac diagnostic imaging and cardiac specific appointments. Works close with the prior authorization team to ensure authorizations are obtained prior ... all clinic patients, obtains all records and confirms completion of the chart prior to the patient's clinic appointment. 3. Coordinates the retrieval of outside… more
    Nuvance Health (09/05/25)
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  • Pharmacy Patient Access Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …and Upstate Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. ... specialty medications ordered from SUNY Upstate clinics and the associated providers prior to enrollment into the specialty pharmacy program. Tasks include the… more
    SUNY Upstate Medical University (08/19/25)
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