- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise....provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare… more
- Centene Corporation (Queens, NY)
- …at least an additional 2 years of relevant experience required. Graduate education in health care administration or other related areas may be used to partially ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Centene Corporation (East Syracuse, NY)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... on workplace flexibility. **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... serves as the primary point of contact between Molina Health plan and the Provider community that...provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare… more
- Molina Healthcare (New York, NY)
- …and must live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully… more
- Molina Healthcare (Albany, NY)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... including min. 2 years of supervisory experience * Min. 2 years health plan Provider Network experience **Required License, Certification, Association** N/A… more
- Centene Corporation (Queens, NY)
- …related field or equivalent experience. 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....strong, adaptable team for the future. + Experience with provider performance in cost of care , value-based… more
- CVS Health (Albany, NY)
- …proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working knowledge of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned… more
- Mount Sinai Health System (New York, NY)
- …+ 7 years minimum, higher preferred, in analytics development expertise, preferably in health care , or for a health provider , health plan or ... organization, including either: + Working knowledge of a health care EMR such as Epic/Clarity, aCW,... provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical… more