• Health Information Specialist I

    Datavant (Albany, NY)
    …protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your ... on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (https://www.datavant.com/privacy-policy) . more
    Datavant (07/30/25)
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  • Bankruptcy Specialist II

    M&T Bank (Getzville, NY)
    …that funds are being applied appropriately under the bankruptcy plan. + Review and respond to interdepartmental tasks timely. + Monitor any bankruptcy correspondence ... and verify all figures are correct, gain approval and then file. + Prepare, review and respond to any court documents that are filed within the bankruptcy case,… more
    M&T Bank (07/23/25)
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  • Junior Technical Operations Support…

    Ithaca College (Ithaca, NY)
    …and post-production equipment by students. + Location Approvals: Participate in the review and approval process of on- and off-campus requests for film/video ... to a criminal background check. All offers of employment are contingent upon review of the criminal background check. At Ithaca College, a comprehensive residential… more
    Ithaca College (07/23/25)
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  • A&CM Quality and Process Improvement…

    City of New York (New York, NY)
    …operations. Responsibilities include, but are not limited to, the following: - Review and analyze A&CM's internal procedures and guidance documents to identify gaps, ... meetings with stakeholders to gather information on business processes and support QA's review . - Create and manage timelines to ensure timely completion of QA's… more
    City of New York (06/29/25)
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  • Clinical Pharmacy Specialist - Transplant

    Northwell Health (Manhasset, NY)
    …the provision of clinical services. Includes but not limited to: medication review and reconciliation, dosing recommendations, pre and post transplant management of ... of the hospital's Formulary and related activities; contributes to the Formulary review process. + Performs all duties of a licensed registered Pharmacist as… more
    Northwell Health (06/27/25)
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  • Pharmacy Benefits Plan Consulting…

    Deloitte (Rochester, NY)
    …pricing studies + Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate negotiation, and ... medical and pharmacy + Prepare financial projections and rate development + Review health plan performance, including reviewing policy year settlements and premium… more
    Deloitte (06/12/25)
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  • Lead Specialist , Appeals & Grievances…

    Molina Healthcare (Buffalo, NY)
    …standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written ... and verbal communication. + Prepares appeal summaries, correspondence, and document findings. + Include information on trends if requested. + Composes all correspondence and appeal/dispute and or grievances information concisely and accurately, in accordance… more
    Molina Healthcare (08/24/25)
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  • Navigator Registered Nurse Specialist

    Northwell Health (Manhasset, NY)
    …with patient's compliance. + Participates in quality meetings to discuss cases and review clinical outcomes. + Meets the educational needs of families and other ... health care professionals concerning the care of the patients. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but… more
    Northwell Health (08/24/25)
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  • Specialist , Appeals & Grievances - Remote

    Molina Healthcare (Syracuse, NY)
    …standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written ... and verbal communication. + Prepares appeal summaries, correspondence, and document findings. Include information on trends if requested. + Composes all correspondence and appeal/dispute and or grievances information concisely and accurately, in accordance… more
    Molina Healthcare (08/24/25)
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  • Provider Enrollment Specialist

    Intermountain Health (Albany, NY)
    …pertinent information to the payer enrollment database. 5. Participate in review , completion and/or submission of provider enrollment initial and re-enrollment ... applications for local and national commercial, Medicare, and Medicaid payers via payer online portals or other methods as applicable. 6. Follow up with payers via phone, website, or email requesting network participation and follow up on submitted… more
    Intermountain Health (08/24/25)
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