• Referral & Prior Authorization Rep…

    University of Rochester (Rochester, NY)
    …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
    University of Rochester (09/17/25)
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  • Sup, Health Insurance & Prior…

    University of Rochester (Rochester, NY)
    …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Coordinate with ... PURPOSE The individual in this position is responsible for assisting the manager and providing direct supervision of assigned team(s) with daily operations. Ensure… more
    University of Rochester (09/19/25)
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  • Referral & Prior Auth Rep IV

    University of Rochester (Rochester, NY)
    …when needed. + Performs quality assurance monitoring for activities relating to prior - authorization and other areas that affect it, utilizing specific criteria. ... KPIs including completion, accuracy, and denial rate. + Coachs staff regarding authorization performance issues in collaboration with division manager . + Acts… more
    University of Rochester (09/10/25)
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  • Temporary Discharge Manager

    Stony Brook University (Stony Brook, NY)
    …establish goals, objectives and timelines. + Work closely with nurse case manager /social worker team regarding payer delays, authorization and denial ... Temporary Discharge Manager **Position Summary** At Stony Brook Medicine, a...Nurse Case Managers and Social Workers regarding payer delays, authorization and denial notification. Individual will also serve as… more
    Stony Brook University (10/01/25)
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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 ... Case Manager - Per Diem **Position Summary** At Stony...of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short… more
    Stony Brook University (09/26/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (New York, NY)
    …billing. + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization , coding, and appeals processes) + Ability to ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding +… more
    J&J Family of Companies (10/02/25)
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  • Manager , Product Management

    Mastercard (Harrison, NY)
    …people, businesses and governments realize their greatest potential._ **Title and Summary** Manager , Product Management As Manager , Network Products you will ... will define and execute strategy + product management for Mastercard Authorization Resiliency - ensuring real-time approval of purchases and other transactions… more
    Mastercard (08/29/25)
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  • Field Reimbursement Manager

    Amgen (Syracuse, NY)
    …order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms + Review ... coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate… more
    Amgen (10/02/25)
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  • Pricing Manager

    SMX (Albany, NY)
    Pricing Manager (4447)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX is looking for a **Pricing Manager ** to add to its growing ... proposals/cost volumes for both commercial and Federal Government proposals. The Pricing Manager will support all business groups in support of capture efforts, to… more
    SMX (09/05/25)
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  • Territory Manager , Diabetes (Brooklyn, NY)

    Medtronic (Brooklyn, NY)
    …world. **A Day in the Life** Medtronic is seeking an experienced Territory Manager to manage territory base business and growth by promoting, selling, supporting ... Medtronic Diabetes products and services. The Territory Manager will report directly to their assigned District ...+ Bachelor's degree. + Minimum of three (3) years prior sales experience **Nice to Have** + Field sales… more
    Medtronic (09/26/25)
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