- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from regulatory...System compliance policies 9. Implements and maintains established Health Care System policies and procedures. 10. Verifies with multiple… more
- Molina Healthcare (Albany, NY)
- …customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare administration and/or ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- Molina Healthcare (Rochester, NY)
- …**This role will have standard EST business hours.** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... and maintenance of critical provider information on all claims and provider ...and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of… more
- Anthony Jordan Health Corp (Rochester, NY)
- …is primarily responsible for functioning as a member of a medical team to provide comprehensive care and education to patient and families. Assists families in ... education program must be one that prepared the registered professional nurse to provide primary health care services. Licenses and Certifications: . Certified… more
- Catholic Health Services (Rockville Centre, NY)
- …Medical Advanced Practice Provider (APP) is a member of the medical care team whose primary responsibility is the management of complex and independent patient ... evaluation and management functions. The Medical APP shall provide patient care commensurate with their level...reconciliation process on admission, discharge or when transfer of care to another provider or level of… more
- HCR Home Care (East Syracuse, NY)
- …+ Cultivates relationships with physicians and hospitals to facilitate the best Home Care solutions for their patients. + Monitors HCR RightFax folders, label faxes ... and attach electronic documents to patient record in Home Care Home Base (HCHB). + Monitors Intake Team email. + Produces timely, accurate data entry. + Enters… more
- Sharecare (Albany, NY)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ... www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic...to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with… more
- Highmark Health (Buffalo, NY)
- …practice operations and workflow across the continuum of variability in primary care and experience in managing provider and administrative leadership ... work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders… more
- CVS Health (Albany, NY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider … more
- Catholic Health Services (Rockville Centre, NY)
- …of only two in NY State to receive this prestigious award. Job Details Critical Care Advanced Practice Provider Job Summary: The Critical Care Advanced ... Provider (CCAPP) is a member of the intensive care team whose primary responsibility is the management of...tests and be capable of performing critical procedures and provide direct patient care services in the… more