- 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
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …+ Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve disputes ... the managed care department of the company. Responsible for training, development and conducting performance reviews of subordinate staff, estimating personnel… more
- Molina Healthcare (Yonkers, NY)
- …is acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and ... and Medicaid vendor strategies aligned with CMS and State regulations, including contract negotiation and SLA oversight + Accountable for over-arching key vendor… more
- 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
- 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 ... named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry… more
- Cardinal Health (Albany, NY)
- …directly to the Director, Market Access & Commercial Operations, the Sales Enablement Manager will work closely with the selling departments to advance our ongoing ... the sales organization. This includes sales tools/productivity improvement, customer contract administration, business metrics/analytics, and rewards architecture. + Gather… more
- Catholic Health Services (Melville, NY)
- …to detail. Understanding of legal contracts Knowledge of escalation procedures when payer is not performing according to contract /service level agreements Salary ... Top Workplace! Job Details Under the direction of the Director and/or Manager , the Infusion Coordinator facilitates, maintains, and manages the infusion AR across… more