- Centene Corporation (Queens, NY)
- …Bachelor's degree in related field or equivalent experience. 4+ years of managed care , health delivery system and/or project and staff management ... support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices + Focuses on value-based care model… more
- Western Digital (Albany, NY)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... stakeholder relationship management * Deep knowledge of legal systems ( contract management, e-discovery, compliance platforms) * Legal industry process expertise… more
- New York University (New York, NY)
- …and motivated individual to serve as a senior program associate for our Managed Care Technical Assistance Center (MCTAC) and Healthcare Innovation team. This ... Program Associate may also support the projects of the Managed Care Technical Assistance Center (MCTAC), an...working with the website, infrastructure, and Learning Management Systems manager as needed. Contract Management: + Lead… more
- The Cigna Group (New York, NY)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal… more
- Molina Healthcare (Buffalo, NY)
- …least 4 years experience in health care , and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required ... by state contract , regulation or state board licensing mandates. If licensed,...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
- Mount Sinai Health System (New York, NY)
- … care delivery system. Ensures that personnel/labor issues are managed in compliance with contractual agreements and support positive employee-management ... oversight of all policies and procedures and standards of care , insuring all are within the scope of nursing...CNE in this work. Provides guidance in union labor contract interpretation within The Nursing Department to interpret any… more
- Compass Group, North America (Manhattan, NY)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... Everything we do means more when it's served with care . The exceptional care and culinary artistry...and the Internet + ServSafe(R) Certified + Certified Dietary Manager certificate or Registered Dietitian preferred **Apply to Morrison… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …+ Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more
- WMCHealth (Hawthorne, NY)
- …Cycle leadership as necessary + Monitors contract compliance and escalates to Managed Care staff as needed + Provides denial trends to Billing Functional ... service satisfaction and quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback on root causes of… more
- Molina Healthcare (Buffalo, NY)
- …licensing mandate. + At least 2 years in case, disease or utilization management; managed care ; or medical/behavioral health settings. + One year of training ... for working as a member of an interdisciplinary clinical team. + Educates integrated care teams on effective collaboration to improve member quality of life and to… more