• Billing Specialist - Pharmacy Technician

    Independent Health (Buffalo, NY)
    …set up and data entry. + financial arrangements and collecting co-payments. + prior authorization assistance with offices. + coordination of benefits. + promote ... for both supplies and medications. + Confirm financial aspects of the claims prior to them leaving the facility. + Portal management including refill reminders,… more
    Independent Health (09/10/25)
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  • Medicolegal Analyst (Law Dept) Lv2

    City of New York (New York, NY)
    …done telephonically, email and through the New York State Workers' Compensation mandated prior authorization medication portal. The portal is time sensitive and ... to medical necessity of treatment as it relates to injured workers' injured sites. The review and prior approval of medications for claimant's work related injuries… more
    City of New York (08/13/25)
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  • Director of Managed Care Contracting

    Stony Brook University (Commack, NY)
    …credentialing processes. + Working knowledge of Revenue Cycle operations, including prior authorization , denial management, and payer policy interpretation as ... at Stony Brook Medicine, Stony Brook University Hospital and related facilities. ** Prior to start date, the selected candidate must meet the following… more
    Stony Brook University (08/08/25)
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  • Associate Director, Provider Engagement - Oncology…

    Evolent (Albany, NY)
    …Managers to ensure successful adoption and engagement of Evolent's solutions (ie, prior authorization , clinical pathways) to ensure timely patient access to ... background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is… more
    Evolent (07/25/25)
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  • Case Manager - Per Diem

    Stony Brook University (Stony Brook, NY)
    …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...Brook Medicine, Stony Brook University Hospital and related facilities. ** Prior to start date, the selected candidate must meet… more
    Stony Brook University (09/26/25)
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  • Client Experience Manager, Pharmacy Benefit…

    CVS Health (NY)
    …external-facing meetings. **Member Support** + Perform overrides as needed. + Oversee prior authorization and accessibility processes. + Conduct inbound phone ... calls. + Oversee resolution of claims issues. + Perform manual eligibility adds and terminations. + Service warranties as assigned. **Required Qualifications** + 5+ years of experience in a pharmacy, PBM ( _Pharmacy Benefit Management_ ), and/or insurance… more
    CVS Health (10/03/25)
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  • Genetics Assistant

    Northwell Health (New Hyde Park, NY)
    …manner. 8. Prepares letters of medical necessity for genetic testing. 9. Performs prior authorization requests for genetic testing, as needed. 10. Triage, track ... referral, and assists with scheduling team by evaluating personal and family history information. 11. Answers telephone, manages voicemail, schedules appointments, and communicates with patients and clinicians. 12. Assists patients with utilization of… more
    Northwell Health (10/03/25)
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  • Pharmacy Tech - VIVO Health (Rxlhh)

    Northwell Health (New York, NY)
    …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. ... Complies with Food and Drug Administration (FDA) mandates and self-imposed manufacturer restrictions on particular drugs, as applicable including Risk Evaluation and Mitigation Strategy (REMS) programs and manufacturer limited distribution drug requirements.… more
    Northwell Health (10/03/25)
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  • Pharmacy Tech - VIVO Health

    Northwell Health (New York, NY)
    …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. + ... Complies with Food and Drug Administration (FDA) mandates and self-imposed manufacturer restrictions on particular drugs, as applicable including Risk Evaluation and Mitigation Strategy (REMS) programs and manufacturer limited distribution drug requirements. +… more
    Northwell Health (10/02/25)
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  • Healthcare Case Manager

    Apicha Community Health Center (Jackson Heights, NY)
    …health education in conjunction with regularly schedules primary care visits. + Obtain prior authorization for pharmacy and/or medical services as required by ... patient's health insurance plan. + Represent Apicha CHC to promote services and recruit patients specifically individual with low income and/or community of color including participate in events + Collaboration and Services - use strong collaborative abilities… more
    Apicha Community Health Center (09/30/25)
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