- Molina Healthcare (NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Walgreens (Brooklyn, NY)
- …you + A lifelong learner - You stay ahead of industry advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims ... **External Basic Qualifications:** + BS in Pharmacy or Pharm D Degree from an accredited educational institution. + Current pharmacist… more
- Molina Healthcare (Syracuse, NY)
- …position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain ... Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects… more
- Sumitomo Pharma (Albany, NY)
- …of contact for internal communication + Ensure that development of launch materials/new claims with Marketing, Medical and Legal are guided by applicable ... and experienced individual for the position of Vice President, Regulatory Affairs, Biopharma R& D . This position leads the Regulatory Affairs for biopharma R& D ,… more
- Walgreens (Hudson, NY)
- …experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- UHS (Johnson City, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... and safety standards + Respond to patient inquiries and provide professional advice on over-the-counter medications and general health concerns Position… more
- Walgreens (Fayetteville, NY)
- …rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. + Manages and controls Prescription Department ... drive business growth. + Recommends, plans, and administers community and professional relations programs. + Informs appropriate personnel of department's plans,… more
- Gilead Sciences, Inc. (Brooklyn, NY)
- …or action, including an investigation conducted by the employer, (c) consistent with the legal duty to furnish information; or ( d ) otherwise protected by law. ... presentation skills, and ability to influence others to represent Gilead at professional events and promote company products * Partner with Medical Scientists,… more
- Walgreens (Buffalo, NY)
- …rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. Manages and controls Prescription Department ... and state regulations to provide such clinical services. + Seeks professional development by monitoring one's performance, solicits for constructive feedback, and… more