- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget...all federal, state, and local regulations for governing payer contracting , stays informed of the health care … more
- Molina Healthcare (Buffalo, NY)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Bausch + Lomb (New York, NY)
- …sound business practices to effect appropriate changes to issues affecting Managed Markets including contracting , formulary access, product distribution, ... **Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of… more
- Molina Healthcare (Buffalo, NY)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... multi-state licensure. 5 years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse… more
- Highmark Health (Albany, NY)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Kaleida Health (Buffalo, NY)
- …cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care , federal and industry reimbursement regulations and payor ... **Revenue Integrity Director FERC Optimization Denial Preve** **Location:** **Larkin Bldg...reimbursement contracting terms required. 3 years of experience and proficiency… more
- Helio Health Inc. (Syracuse, NY)
- … care and services with external case managers, managed care operators, licensing, funding, and contracting agencies. Responsibilities + Maintains and ... and lead our staff to deliver the highest quality care to our patients in ourWillows Inpatient Rehab Program....per year. Working Relationships + Takes direction from Division Director /Service Director and keeps them informed regarding… more
- Molina Healthcare (Rochester, NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Trinity Health (Syracuse, NY)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... driving excellence in clinical pharmacy practice, regulatory compliance, and patient-centered care .** **POSITION PURPOSE** The Pharmacy Director - Regional… more
- Rochester Regional Health (Rochester, NY)
- …timely manner + Support financial and administrative oversight of managed care contracts with commercial payers + Support contracting activities including ... * Bachelor's Degree in Business, Accounting, Health Information, other health care related field required. ATTRIBUTES + Proficient in utilizing Excel for… more
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