- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Gateway Hudson Valley (Kingston, NY)
- Health Home Care Manager Job Details Job Location Corporate Headquarters - Kingston, NY Position Type Full Time Education Level 2 Year Degree Salary Range $23.00 ... 403(b) Retirement, Holidays, and generous PTO POSITION SUMMARY The Care Manager is responsible for the provision...collaborates with mental health professionals in Ulster County and Managed Care Organizations to connect with and… more
- Elevance Health (New Hyde Park, NY)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, ... is granted as required by law. The **Behavioral Health Care Manager II** is responsible for managing...experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC… more
- Catholic Health Services (Melville, NY)
- …the Catholic Health Physician Advisor when appropriate. + Reviews results from managed care payors and/or regulatory agencies determinations for further action. ... Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according...Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations + Meets… more
- Molina Healthcare (Syracuse, NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA...multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- LEGOLAND (Goshen, NY)
- …Time- Seasonal role (Season ends September 6, 2025)** **The Guest Services Assistant Manager will manage and oversee the hotel pool operations. They will be ... responsible for all aspects of guest satisfaction and care . They will foster positive relationships with our guests...incident to the department head concerned. Guest Services Assistant Manager primary role is to be able to operate… more
- The Cigna Group (New York, NY)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of… more
- Elevance Health (Middletown, NY)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... **Provider Relationship Account Manager ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …: Incidental travel required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, ... recommendations to leadership. + Serve as the primary contact for PBM contract negotiations. + Prepare financial models and business cases to support negotiation… more
- CS Energy (Owego, NY)
- CS Energy is hiring a Project Manager . The Project Manager leads several project teams and works in partnership with our Project Operations and Field Management ... Management and Business Development carry pipeline of projects through FMEA process, contract signing and project start-up + Develop and maintain client relationship… more