- Highmark Health (Buffalo, NY)
- …the verbal request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of ... Highmark's Utilization Management system for Prior Authorization clinical review, status research , etc. Ensures all accurate information is verified and entered at… more
- City of New York (New York, NY)
- …Local travel may be required. Carrying and use of equipment may be necessary. RESEARCH PROJECTS COOR(MA)-MGR - 0527A Qualifications 1 . Do you have a ... enforcement and city agencies, non-profits, foundations, and others to implement data -driven strategies that address current crime conditions, prevent offending, and… more
- Highmark Health (Buffalo, NY)
- …providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the member, and then creates ... the case ( data entry) in Highmark's Utilization Management system for Prior...Other duties as assigned or requested. **EXPERIENCE** **Required** + 1 year of Customer Service experience + 1… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... capital construction projects to procure equipment for capital projects. Utilizes room data sheets prepared by planning staff and the project managers to acquire… more
- Guthrie (Binghamton, NY)
- …supervisory experience or charge nurse experience desired Essential Functions: 1 . RESOURCE UTILIZATION: Considers factors related to safety, effectiveness, cost, ... care. Manages daily staffing issues in conjunction with Nurse Manager, analyzing available data sources, and making decisions based on this data . Makes… more
- Mount Sinai Health System (New York, NY)
- …ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1 . Follows up on submitted claims, monitors unpaid claims and resubmits ... and refers complex issues to supervisor. 4. Reviews correspondence and rejection data from insurance carriers; posts rejections and performs reconciliations. 5. May… more
- University of Rochester (Albany, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... + Or equivalent combination of education and experience + 1 year of medical credentialing and/or payer enrollment experience...namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... chair with meeting minutes for review and approval within 1 week of each meeting. Distributes meeting minutes based...namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking… more
- New York State Civil Service (Staten Island, NY)
- …State Institute for Basic Research is seeking a candidate to fill a Research Scientist 3/ Research Coordinator position in the Human Genetics Department, ... in the laboratory on the collection, organization and analysis of all human phenotyping data . The coordinator will also work with the Principal Investigator and… more
- Binghamton University (Binghamton, NY)
- …and recommend services and technologies that support established and emerging University research areas. + Transform data into insight: Maintain accurate ... On: Tue Nov 4 2025 Job Description: Director for Research Services Open rank (Associate for Full Librarian) with...in electronic (over 2 million and growing) and print ( 1 .7 million items) formats with an extensive array of… more
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