- Mount Sinai Health System (New York, NY)
- …regarding policies and procedures, billing related training, contractual relationships with managed care organizations, capital procurement and space allocation. ... are resolved. + Coordinates planning and implementation of contractual relationships with managed care organization. + Reviews and evaluates manual and… more
- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... Medicare and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8. Analyze impacts… more
- City of New York (New York, NY)
- …of Persons with Developmental Disabilities (OPWDD, community health, mental health, and managed care organizations around behavioral health services at DHS}. - ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... Acts as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility… more
- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as...the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a… more
- New York State Civil Service (Albany, NY)
- …Research and Review (BSARR) regarding cases that do not meet standard level of care expectations.* Serve as OPWDD's Medical Director of the Naloxone program.* ... for Title Chief of Medical Services Occupational Category Health Care , Human/Social Services Salary Grade 668 Bargaining Unit M/C...or task forces when relevant. * Serve as Medical Director for the Bureau of Service Allocation Research and… more
- Comunilife (New York, NY)
- …Programs (AVP) for Transitional Housing, Program Director for Medical Respite, Program Director for Care Coordination, and the Director for SCN Services. ... supervise Assistant Vice President (AVPs), Program Directors for Medical Respite, Care Coordination and SCN Services; ensure effective supervision of Program… more
- Staffing Solutions Organization (Albany, NY)
- …have experience and an understanding of Medicaid and Medicaid services, including Managed Care and billing practices **Basic Qualifications:** + Bachelor's ... projects, and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director , Medicaid Program Manager, and Integrated Care Team in… more
- Ellis Medicine (Schenectady, NY)
- …and/or linkage to community resources, medical insurance coverage - Medicaid, managed care /dual-eligible parameters; etc. + Actively assists and facilitates ... internal departments and external agencies to provide smooth, timely transition of care across the continuum. Activities will be documented as per policy.… more
- Catholic Health Services (Roslyn, NY)
- …in on-going educational activities related to clinical knowledge, professional issues and the managed care environment. Salary Range USD $66.55 - USD $90.00 /Hr. ... performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet… more