• Pharmacy Prior Authorization Technician

    Kelly Services (Rochester, NY)
    **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... The Technician serves as a resource for staff on members' contract benefits, related health plan functions, and provides leadership in the intake area of the prior… more
    Kelly Services (08/19/25)
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  • Encounter Data Management Professional

    Humana (Albany, NY)
    …Word, SharePoint, PowerPoint and Outlook, Excel** **Preferred Qualifications** **Prior health insurance industry experience** **Working knowledge of Microsoft ... part of our caring community and help us put health first** The Encounter Data Management Professional develops business...with business processing and data entry to join working remote anywhere in the US. As the Encounter Data… more
    Humana (08/19/25)
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  • Actuarial Analyst I/II/III/IV

    Excellus BlueCross BlueShield (Rochester, NY)
    …related experience with at least three (3) passed SOA exams. + An understanding of health insurance & health insurance products, managed care, accounting ... Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time… more
    Excellus BlueCross BlueShield (07/14/25)
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  • Neuroscience LTC Specialist - Brooklyn

    Otsuka America Pharmaceutical Inc. (Queens, NY)
    …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist… more
    Otsuka America Pharmaceutical Inc. (08/21/25)
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  • Neuroscience Hospital Specialist - Brooklyn S

    Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
    …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In its evolved customer engagement model, a Hospital Specialist engages… more
    Otsuka America Pharmaceutical Inc. (08/19/25)
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  • Attorney Auditor

    Sedgwick (Rochester, NY)
    …in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any of the 50 United States are encouraged to ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
    Sedgwick (07/09/25)
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  • Associate Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New...expected 20% of the time based on business needs. Remote options may be considered within the US. As… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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  • Care Management Support Assistant

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the ... highest quality health care for Autism Spectrum Disorder (ASD) related services...needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care,… more
    Humana (08/27/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
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  • Executive Director, CNS Strategy, Global Medical…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …25% travel is required, based upon business needs + Position can be remote based **Competencies** **Accountability for Results -** Stay focused on key strategic ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
    Otsuka America Pharmaceutical Inc. (07/03/25)
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