…acute care , or community setting. Knowledge of healthcare and managed care preferred. 2 years of Pediatric experience required. Licenses/Certifications:

A nonprofit healthcare organization in New York City is looking to add a new Managed Care Appeals Specialist to their growing team in the Bronx. Responsibilities

…goals. Prioritize relationships with key medical decision-makers in healthcare systems, managed care organizations, payers, and government programs to facilitate

…and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific

…technical information about Novo Nordisk products to healthcare professionals, key institutions, managed care organizations and the broader medical and academic

…on emergency equipment logs & medication refrigeration logs. Complies with all Managed Care and Quality requirements (required vitals, e-prescribing, etc).

…physicians, knowledge of the overall medical community and the local / regional managed care environments Experience with integration of clinical and financial

…degree in Nursing or related field. At least 5 years of work experience in managed care and acute care settings with complex case management. Previous

…health information management (HIM) experience preferred. Claims processing and/or managed care experience preferred. Licenses/Certifications: Current state

…managed healthcare and provider reimbursement experience. Claims processing and/or managed care experience preferred Our Comprehensive Benefits Package: