- Stony Brook University (Commack, NY)
- Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care ... with organizational financial goals. Under the direct supervision of the Assistant Director of Managed Care , the Director will oversee the daily… more
- Stony Brook University (Commack, NY)
- … Care Provider Enrollment Specialist, you will work under the oversight of the Director of Managed Care Enrollment and join a team of professionals ... Managed Care Provider Enrollment Specialist **Position...enrolled within ninety (60) days of roster submission. Inform Director of Enrollment of MCOs non-compliance. A provider enrollment… more
- WMCHealth (Valhalla, NY)
- …Job Summary: The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the participating ... managed care payers. Responsibilities + In coordination with the Senior Director of Managed Care , will escalate to the managed care … more
- WMCHealth (Valhalla, NY)
- …directly as required. Performs other related work as required. Responsibilities: + Works with managed care Sr. Director to develop form. + Responsible for ... under the technical direction of Information Technology staff and Senior Director - Managed Care . + Writes and maintains reimbursement formulas/calculations… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- Cardinal Health (Albany, NY)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... negotiation with strategy. **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Catholic Health (Buffalo, NY)
- …Additionally, in collaboration with CH, the Director Financial Services collaborates with managed care to ensure accurate managed care pricing ... from Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4p Summary: The Director Financial Services, Physician Enterprise serves as the finance executive for… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...+ Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational… more
- Humana (Albany, NY)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Comunilife (New York, NY)
- …and meet performance milestones. + Lead cross-sector collaboration with CBOs, managed care organizations (MCOs), government entities, and technology partners. ... Director of Social Care Network (SCN) Services Job Details Job Location New York, NY Position Type Full Time Education Level Graduate Degree Salary Range… more