- Intermountain Health (Albany, NY)
- **Job Description:** The Pharmacy Government Specialist II is responsible for the day-to-day operations of Government programs, providing superior customer ... benefits support role. + Demonstrated ability to meet performance standards for a Pharmacy Government Specialist II + Demonstrated ability to provide superior… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Specialist Position Overview: The Pharmacy Billing Specialist is responsible for electronic billing of Medicare , Medicaid and Third ... Salary Starting at $18.00 / hour Overview Pharmacy Billing Specialist Starting Pay Rate...pm or 9a.m.-5p.m. #Talroo Responsibilities Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare ,… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring...pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly… more
- Cardinal Health (Albany, NY)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred +… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist in Albany, NY** The OHIP Division of Program Development and Management (DPDM) ... DPDM is responsible for NYS Medicaid policy related to medical, dental, pharmacy , behavioral health and transportation management. This division serves as a liaison… more
- Highmark Health (Albany, NY)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing… more
- University of Rochester (Rochester, NY)
- …drugs (HazD) in compliance with USP 800 standards, Centers for Medicare and Medicaid Services┐ Conditions of Participation, Department of Health regulations, ... Other duties as assigned. QUALIFICATIONS: Bachelor's degree in Industrial Hygiene, Pharmacy , Biomedical Sciences or other related field required. 3 years of… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy ... to work regional/local systems, centers of excellence, patient advocacy, specialty pharmacy customers and individuals involved with the customer journey. *Clearly… more
- CenterWell (Albany, NY)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our… more
- Molina Healthcare (Yonkers, NY)
- …or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more