• Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in meetings, ... market disruptions; stays on top of national and local payer trends. + Planning and Program Development ...+ Develops payer scorecard initiatives to measure payer compliance with contract terms and overall… more
    Albany Medical Center (04/16/25)
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  • Medicaid Contract Director

    Highmark Health (Albany, NY)
    …:** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the state ... to coordinate the implementation of new programs and projects including the report development to ensure these initiatives remain on track. The incumbent will be… more
    Highmark Health (04/29/25)
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  • Senior Network Provider Manager

    CVS Health (Albany, NY)
    …highest value/volume of spend providers with significant financial implications. + Manages contract performance, and drives the development and implementation of ... to commute to Manhattan once a month**_ **Position Summary** + Guides development of holistic solutions or strategic plans negotiates and executes contracts with… more
    CVS Health (04/26/25)
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  • MES Quality Assurance Project Manager

    NTT DATA North America (Albany, NY)
    …organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our team in Albany, New York (US-NY), United States (US). ... The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
    NTT DATA North America (04/02/25)
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  • Manager , Provider Contracts

    Molina Healthcare (Albany, NY)
    …models in concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an ... Ratio (MCR) in each contracted region. * Utilizes standardized contract templates and Pay for Performance strategies. * Utilizes...as needed basis to modify contract templates to ensure compliance with all contractual and/or… more
    Molina Healthcare (04/20/25)
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  • CHS Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …staff and other health team members to understand and help comply with payer / contract issues and appeal preparation. Maintains strict standards for patient ... Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry… more
    Catholic Health Services (03/19/25)
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  • Senior Contracting Analyst - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within Mount… more
    Mount Sinai Health System (04/04/25)
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  • Mgr, Rev Cycle Mgmt, Provider

    University of Rochester (Rochester, NY)
    … Manager ensures appropriate credit balance prioritization based on contract and government requirements, prepares reports, identifies credit balance trends, and ... as billing and collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for… more
    University of Rochester (03/17/25)
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