- Cognizant (Albany, NY)
- ** Pharmacy Appeals Team Lead (remote)** This is a remote position that is open to any qualified candidate who lives in the United States. Our Cognizant ... is currently seeking an individual to perform as a Team Lead that will have the following...following duties and work as part of our established pharmacy appeals team . The full-time… more
- Independent Health (Buffalo, NY)
- …and appeals , document research of initial coverage determinations, and lead coordination of clinical review with appropriate internal stakeholders and Medical ... the collection and review of medical records specific to quality complaints/grievances and appeals as indicated in support of a high performing health plan and… more
- Amgen (New York, NY)
- …Rare Disease- we reach millions of patients each year. As a member of the Amgen team , you'll help make a lasting impact on the lives of patients as we research, ... the opportunities that lay within them, you'll thrive as part of the Amgen team . Join us and transform the lives of patients while transforming your career. **Field… more
- J&J Family of Companies (New York, NY)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- Humana (Albany, NY)
- …to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, ... standards, and contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
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