• 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)
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  • Manufacturing Engineer

    General Motors (Lockport, NY)
    …THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE COMPANY (eg, ... and establishing sequence and flow of operations for the effective utilization of material, machines, personnel, and facilities necessary for the high-volume… more
    General Motors (07/13/25)
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  • Temporary- Managed Care Pharmacy Technician

    CDPHP (Albany, NY)
    …coverage and CDPHP initiatives. The pharmacy tech will support initiatives including prior authorization work under the guidance of a licensed pharmacist. ... tech will participate in an on-call/holiday rotation along with a utilization management pharmacist to support Plan members in after hour pharmacy issues.… more
    CDPHP (07/06/25)
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  • Manager FT

    Rise Life Services (Hampton Bays, NY)
    …data collection, progress notes, billing requirements. + Participates in bi-annual Utilization Management Reviews, and ensures completion of Recovery ... all billing critical documentation including: service delivery, semi-annual + Authorization forms, and quarterly team meetings. + + Manage...the weekly Menu, making any needed changes, and sign-off prior to the start of each week. + Submit… more
    Rise Life Services (06/18/25)
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  • Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare (Syracuse, NY)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
    Molina Healthcare (06/29/25)
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