• Clinical Support Specialist

    CDPHP (Albany, NY)
    …professionalism. This position supports timely determination turnaround times on all prior authorization requests and inpatient notifications received via ... two (2) years experience in a health insurance related discipline required. + Utilization management experience is preferred. + Knowledge of managed care, health… more
    CDPHP (07/06/25)
    - Related Jobs

  • Pharmacy Technician, Clinical/MTM Remote Outbound…

    Molina Healthcare (Rochester, NY)
    …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + Articulates ... and state laws. Jobs in this family include those involved in formulary management (such as, reviewing drug/provider utilization patterns and pharmacy costs … more
    Molina Healthcare (06/25/25)
    - Related Jobs

  • Virtualization and Storage Systems Administrator

    NY CREATES (Albany, NY)
    …Job responsibilities include but are not limited to: Virtual Machine Management : + Creating, configuring, and managing virtual machines on virtualization platforms ... managing storage infrastructure (SAN, NAS, DAS). + Monitoring storage capacity utilization and proactively managing storage expansion. + Implementing data protection… more
    NY CREATES (07/03/25)
    - Related Jobs

  • Field Reimbursement Manager, Dermatology…

    Sanofi Group (Rochester, NY)
    …the field subject matter expert relating to patient support, access, reimbursement, prior authorization , appeal, financial assistance, and other business related ... ABM as appropriate. + Support field in education of office personnel on prior authorization and appeals processes, reimbursement support through Dupixent MyWay,… more
    Sanofi Group (06/05/25)
    - Related Jobs

  • Senior Medical Director (Medicare)

    Molina Healthcare (Yonkers, NY)
    …physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management and ... years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review,… more
    Molina Healthcare (06/13/25)
    - Related Jobs

  • Manager, Imaging Radiology

    University of Rochester (Rochester, NY)
    …contact with families regarding scheduling and pre-procedural testing. + Coordinates obtaining prior authorization from payors for procedures, as required. + ... customer and patient/family satisfaction. **SUPERVISION AND DIRECTION EXERCISED:** Provides management and on-site direct supervision of technical staff as well… more
    University of Rochester (06/06/25)
    - Related Jobs

  • Senior Patient Coordinator

    Weill Cornell Medical College (New York, NY)
    …smooth check-in. + Verifies patient insurance eligibility and obtains necessary pre- authorization numbers, if required, prior to appointment date. Facilitates ... Patient Coordinator Location: Upper East Side Org Unit: Subspecialty Practice Management Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt… more
    Weill Cornell Medical College (07/10/25)
    - Related Jobs

  • Medical Director - New Jersey Market

    CVS Health (Albany, NY)
    …responsible for predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer ... of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum...the continuum of care. You will support the Medical Management staff ensuring timely and consistent responses to members… more
    CVS Health (07/10/25)
    - Related Jobs

  • Senior Patient Coordinator

    Weill Cornell Medical College (New York, NY)
    …smooth check-in. + Verifies patient insurance eligibility and obtains necessary pre- authorization numbers, if required, prior to appointment date. Facilitates ... patient's responsibility for payments + Registers patients within the practice management system. Completes full registration for new patients and eligibility… more
    Weill Cornell Medical College (07/10/25)
    - Related Jobs

  • Partner, US Field Access & Reimbursement - Retina…

    Astellas Pharma (New York, NY)
    …reimbursement topics with expertise in payer coverage, buy-and-bill, and Utilization Management criteria (ie Prior Authorization , Step Edits, other forms ... the pharmaceutical industry + Minimum of 3+ years in Sales, Account Management , or Field Reimbursement. + Maintains customer focused mindset and provides timely… more
    Astellas Pharma (05/10/25)
    - Related Jobs