- Catholic Health Services (Melville, NY)
- …communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time. We are ... Details This position reports to the Vice President of Managed Care and is responsible for processing complex hospital,...all new Agreements and Amendments and supports Epic Contract Management team as negotiated terms are loaded into the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Nursing Professional Practice is a professional nurse with broad knowledge and skill in the professional practice ... the promotion and advancement of professional nursing. **Responsible For:** Operational Management of Nursing Professional Practice . Collaborates with MSHS VPs,… more
- Cardinal Health (Albany, NY)
- …+ Experience in a managed services, physician enterprise, or oncology practice management setting + Familiarity with payer models, oncology value-based ... experienced team is passionate about helping oncology practices navigate the future. The Director of Practice and Network Strategy will be responsible for… more
- Humana (Albany, NY)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Albany, NY)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... 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
- Humana (Albany, NY)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Catholic Health Services (Commack, NY)
- …Site Director has overall responsibility for all aspects of physician practice management 's financial results and operational performance and is accountable ... the coordination of operational start-up and on-boarding for new practices with physician practice management staff. + Collaborates with Medical Group contract … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Director , Patient Financial Services (Backend Revenue Cycle) Corporate 42nd Street- Full-Time- Days** The Senior Director Patient ... Billing and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient Financial Services of the… more
- CDPHP (Latham, NY)
- …(5) years clinical practice experience required. + Minimum of three (3) years managed care or practice management is preferred. + Strong interpersonal, ... our Medical Director team. Great opportunity to get involved in managed care! QUALIFICATIONS: + MD or DO required. Additional advanced degree(s) preferred. +… more
- Molina Healthcare (Rochester, NY)
- …HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice , capitation, HMO regulations, managed healthcare systems, quality improvement, ... including: + 2 years previous experience as a Medical Director in a clinical practice . + Current..., and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E**… more
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