- 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
- Highmark Health (Albany, NY)
- …This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across ... for the introduction and delivery of new and innovative reimbursement models across all of Highmark's markets and lines...business with the goal of maximizing quality while reducing healthcare costs. Develops and maintains a 3-5 year strategic… more
- J&J Family of Companies (Smithtown, 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 (New York, 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 (Newburgh, 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
- Humana (Albany, NY)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Highmark Health (Albany, NY)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… more
- Elevance Health (East Syracuse, NY)
- **Audit & Reimbursement Senior** **_Virtual:_** _This role enables associates to work virtually full-time, with the exception of required in-person training ... face-to-face onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …degree required + Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement + At least 3 years of experience in benefit ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert...areas. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to… more
- Independent Health (Buffalo, NY)
- …innovation and collaboration. **Overview** The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims, membership, and cost ... as it relates to fair, equitable, and market competitive reimbursement designed to achieve value for the health plan,...management with the ability to assess the impact of policy changes, government mandates, consolidations and mergers in the… more