- Humana (Albany, NY)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Genetic Specialist Coordinator will report to the department clinical manager and will work with all department staff. Under the supervision ... of the genetic counselor and geneticist, the Genetic Specialist Coordinator will provide support to facilitate patient visits and genetic testing. This includes… more
- Humana (Albany, NY)
- …providers in determining whether a specific service for a member requires prior authorization or referral, ensuring compliance with established guidelines and ... medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization +… more
- CAI (Albany, NY)
- Contract Coordinator Intern **Req number:** R6166 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology ... trailblazers in bringing neurodiversity to the enterprise. **Job Summary** As Contract Coordinator Intern, you will work closely with our Contracts Department to… more
- Highmark Health (Buffalo, NY)
- …**Job Description :** **JOB SUMMARY** This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In ... and/or provider of the approval and/or denial of the requested authorization . **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform,… more
- Highmark Health (Buffalo, NY)
- …creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to… more
- Binghamton University (Binghamton, NY)
- …telephony, and physical security (camera, door, and CCTV) support to the campus' remote sites + Provide operational support for ITS-managed spaces on the Health ... Sciences Campus and at remote sites, including campus IDFs and data center facilities...will need it in the future to maintain employment authorization , you do not meet eligibility requirements. Additionally, please… more