- Catholic Health (Buffalo, NY)
- …Days Hours: 8a-4p Summary: The Manager Government Reimbursement reports to the Director Government Reimbursement and Managed Care. The Manager is responsible ... + Ability to communicate effectively with and maintain a strong customer service focus on management, staff and external customers + Maintains the confidentiality… more
- World Wide Technology (New York, NY)
- …with complex commercial models including strategy-led consulting, implementation and managed services , and transformation programs + Expertise building ... strategies for Fortune 500, including leading global Banking and Financial Services institutions, and large public sector organizations, positioning WWT as a… more
- Healthfirst (NY)
- …executing department functions including prior authorizations, concurrent reviews, and service requests** + **Develop strong operational and leadership capabilities ... and deep familiarity of health plans such as Medicare, Medicaid and//or Managed Long-Term Care Plan (MLTCP).** + **Demonstrated understanding of UM regulatory… more
- YesCare Corp (Coxsackie, NY)
- …of an underserved population. As a pioneer in correctional healthcare services , YesCare is committed to innovation, clinical expertise, and compassionate care. ... providers to address and resolve patient care issues. + Supervise clinical services provided by professional and paraprofessional staff. + Provide and ensure on-call… more
- Highmark Health (Albany, NY)
- …payers. Programs will include but not be limited to fee for service , pay-for-value programs, episode payments, prospective bundled payments, gain share and risk ... Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery or… more
- CIBC (New York, NY)
- …mapped risks. Advising businesses on the implementation and monitoring of Business- Managed Technology controls. + Organize, lead, and facilitate meetings with ... proactive in response to information requests and promptly resolve any day-to-day service or business related issues. **Who You Are:** + Highly motivated,… more
- Kyndryl (New York, NY)
- …feel compelled to buy + Established history combining consulting, implementation, and managed services , sold and successfully delivered + Experience delivering ... Data & AI, Security & Resilience, and Digital Workplace Services ), and our rapidly expanding network of alliance partners,...the world's largest mission critical IT operations and infrastructure services firm. As a Consult Partner, you will play… more
- S&P Global (New York, NY)
- …delivering high-quality solutions that meet the complex needs of the financial services industry. As a Software Engineer, you will collaborate with talented ... JavaScript/TypeScript, HTML, and CSS. + Build and maintain backend services with Node.js frameworks (Nest.js/Express/Fastify) and Java Spring Boot, integrating… more
- Molina Healthcare (Yonkers, NY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program and… more
- Citigroup (New York, NY)
- …multiple business cycles. In-depth knowledge of the industry and direct competitors' products/ services is also necessary in order to contribute to the commercial ... which will have a major impact on the area managed , and possibly on other related areas and organization...+ Ensure strong controls and effective operational and administrative services . + Partner with colleagues across the Citigroup network… more