- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
- Highmark Health (Albany, NY)
- …coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + ... job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and… more
- CenterWell (Albany, NY)
- …of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy claims for ... Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return, deny, or pay claims… more
- Molina Healthcare (Albany, NY)
- …benefit programs in accordance with all federal and state laws. The MTM Pharmacy Service Representative is responsible for performing outreach attempts and ... **Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with identified ... calls include but are not limited to: Neurologists, Immunologists, Allergists, Specialty Pharmacy companies, Infusion Center and Hospital accounts like pharmacy … more
- CDPHP (Latham, NY)
- …invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding education of ... advise the customer of their rights and responsibilities. The Member Service Representative will work closely with all departments, such as Marketing, Enrollment, … more
- Cardinal Health (Albany, NY)
- …appropriate team member (when applicable) * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for ... assistance * Update internal treatment plan statuses and external pharmacy treatment statuses * Maintain accurate and detailed notations for every interaction using… more
- CenterWell (Albany, NY)
- …for the Medicaid line of business. + Utilizes broad understanding of pharmacy , managed care, PBM, market and regulatory insights to support the implementation ... Medicaid line of business. + Serves as a key representative for Medicaid strategies across the organization. + Makes...3+ years of experience in managed care or other pharmacy related field + 3+ years of experience of… 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, ... on the appeals process if needed + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance +… more
- Bausch + Lomb (Albany, NY)
- …of these studies. May serve as the primary project team representative for Clinical Operations. **Major areas of Responsibility** **:** Clinical Operations: ... visit reports, clinical monitoring plan, informed consents, CRF completion guidelines, pharmacy manual, etc.) during study start-up and throughout the life of… more