- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
- University of Rochester (Rochester, NY)
- …other duties as assigned. SCHEDULE: Sa/Su 10am-830pm **ESSENTIAL FUNCTIONS** **Problem Solving/ Utilization of Critical thinking skills** + Serves as the front line ... Using independent judgment, determines when situations warrant escalation to management , Public Safety or other inter-disciplinary teams. + Independently answer… more
- University of Rochester (Rochester, NY)
- …preparations for providers, including but not limited to time and calendar management while optimization of provider patient schedule, coordination of patient care ... effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. +...protocols in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and… more
- Pacific Program Management (New York, NY)
- …and scope along with high-level processes. * Educate key stakeholders on the utilization and features of client's space management platform. * Participate in ... Manager Lead position leads the existing space occupancy planning and data management , small move projects (including individual, transfer and leaves) and is a… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data...healthcare services. Primary Responsibilities + Collect data from claimant representative , physician, or hospital; verify claimant case status and… more
- Sysco (Bowmansville, NY)
- …associated with Delivery. Responsibilities include but are not limited to, management and direction to delivery staff, compliance with government regulations and ... extra work days and shifts as needed. + Oversees the proper selection utilization of company assets in support of the Delivery department. + Organizes required… more
- GMHC (New York, NY)
- …the Financial Management team to support clients who utilize GMHC's representative payee services and other financial tools. Strategic Planning and Growth + Lead ... Rapid Rehousing and Permanent Supportive Housing, HASA scatter-site housing, Financial Management Rent Payee program and SURE Housing program. These programs are… more
- Fresenius Medical Center (Amsterdam, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Independent Health (Buffalo, NY)
- …health improvement, identification of care resources, and facilitation of benefit utilization , such as assisting members with appointment scheduling, and preparing ... + PCP Assignment and provider searches. + Prior-authorization status and management . + Out-of-network redirection and negotiation awareness. + Case and disease… more
- NFTA (Buffalo, NY)
- …The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily ... position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such duties are a logical… more
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