• Provider Contracting & Reimbursement…

    Independent Health (Buffalo, NY)
    …of action to management as it relates to fair, equitable, and market competitive reimbursement designed to achieve value for the health plan, provider partners, ... to support provider contract negotiations, assess the impact of potential alternative reimbursement models, improve Independent Health 's ability to deliver high… more
    Independent Health (08/26/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Albany, NY)
    …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
    Highmark Health (07/30/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
    Highmark Health (08/20/25)
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  • Audit & Reimbursement Senior

    Elevance Health (East Syracuse, NY)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
    Elevance Health (08/26/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (East Syracuse, NY)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** will support our Medicare ... **Audit & Reimbursement II** **Location:** This role enables associates to...onboarding and skill development. **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
    Elevance Health (09/06/25)
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  • Field Reimbursement Manager Tzield - East…

    Sanofi Group (Albany, NY)
    …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
    Sanofi Group (08/17/25)
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  • Field Reimbursement Manager I & I

    Pfizer (Albany, NY)
    …North America, this individual will report directly to the I&I Access & Reimbursement Regional Director. The Field Reimbursement Colleague will perform their ... vision of the Pfizer Business Units' overarching access and reimbursement plan and compliance standards. It will be this...coding and claims-related issues by contacting payers to understand policy or procedures and to provide information on payer… more
    Pfizer (09/07/25)
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  • Bilingual Reimbursement Specialist

    Cardinal Health (Albany, NY)
    …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
    Cardinal Health (09/03/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Buffalo, NY)
    …and biotechnology products + Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment) ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
    J&J Family of Companies (08/25/25)
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  • Senior Analyst, Life Sciences Consulting

    Norstella (Albany, NY)
    …Sciences industry and strategy consulting. Analysts will work on projects addressing the reimbursement , pricing, demand creation, health policy , health ... Job ID: R-410 **Description** **About Us** We set out to develop a health care innovation organization that could separate the background "noise" from what warrants… more
    Norstella (08/08/25)
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