• Clinical Pharmacy Specialist

    Bassett Healthcare (Cooperstown, NY)
    …optimum health and enjoy the best quality of life possible. What you'll do The Clinical Pharmacy Specialist (CPS) is a credentialed member of the Bassett ... Pharmacy ), required Experience: + Post-Doctoral Residency and/or Fellowship training in Clinical Pharmacy and/or one of its sub-specialties such as Critical… more
    Bassett Healthcare (11/03/25)
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  • Medical Billing Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to ... Duties:** + Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty… more
    KPH Healthcare Services, Inc. (10/08/25)
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  • Workflow Processing Specialist

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …selecting billing and shipping methods for incoming patient orders + Provide clinical services in TherigySTM + Provides resolution to customer service issues to ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more
    KPH Healthcare Services, Inc. (10/30/25)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …non-covered items + Facilitate prior authorization process for customers + Provide clinical services in TherigySTM + Customer service coverage for incoming calls and ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Syracuse, NY)
    …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...needed (such as specialties in: surgical, ob/gyn, home health, pharmacy , etc.), or equivalent combination of relevant education and… more
    Molina Healthcare (11/14/25)
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  • Specialty Sales Representative, Immunology…

    Grifols Shared Services North America, Inc (Syracuse, NY)
    Clinical Pharmacists, DOP for formulary consideration and specialty pharmacy etc.) *Demonstrate account-based selling skills (including group presentations) with ... with key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The Immunology/Neurology/Acute SSR… more
    Grifols Shared Services North America, Inc (10/21/25)
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  • Licensed Practical Nurse - Telemetry Part Time…

    Guthrie (Cortland, NY)
    …teams consisting of social work, care coordinators, physical therapy, occupational therapy, pharmacy and palliative care. The 2C nursing unit consists of 24 beds ... call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation by filling in for… more
    Guthrie (11/14/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Syracuse, NY)
    …benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely ... + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. + Communicate and participate in meetings related to… more
    Molina Healthcare (11/20/25)
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