- Evolent (Albany, NY)
- …and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans clients + ... , we seek to connect the pieces of fragmented health care system and ensure people get...territory. You will design and execute strategies that elevate provider performance, enhance care quality, and drive… more
- Anthony Jordan Health Corp (Rochester, NY)
- …in northeast Rochester, NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving residents living ... most at risk. This position includes the ability to provide care via telehealth and conduct home...and Human Services. Jordan Health is a network of outpatient primary care offices with… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare… more
- Hudson Headwaters Health Network (Warrensburg, NY)
- Hudson Headwaters Health Network is looking for a...Health Center (FQHC), Hudson Headwaters' mission is to provide the best health care , ... Team in the Heart of the Adirondacks! Hudson Headwaters Health Network is seeking a compassionate and...members to develop strategies that continuously improve quality of care and the patient experience. + Provide … more
- Datavant (New York, NY)
- … health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. ... Our platform is powered by the largest, most diverse health data network in the US, enabling...shows, and conferences to build brand awareness and promote provider -focused solutions. + Build a network of… more
- Hudson Headwaters Health Network (Queensbury, NY)
- HHHN Mission To provide the best health care...an array of services to the patients of the network and support to the primary/specialty care ... of barriers, including socio-economic barriers, promoting wellness and preventative care measures and enhanced patient- provider communication +...address gaps in care and/or services to provide relevant community and/or health care… more
- Molina Healthcare (Rochester, NY)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers...Degree or equivalent work experience in health care field including, but not limited to, provider… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The...millions of people we serve to achieve their best health - delivering the care and service… more
- Aspen Dental (Albany, NY)
- …credentialing issues in a timely manner. + Research and resolve out of network claims issues by investigating provider participation status and effective dates ... healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three...offices across 47 states in three distinct categories: Dental care , urgent care , and medical aesthetics. Working… more
- Centene Corporation (Getzville, NY)
- …degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care . Proficient in Microsoft Access ... reconciliations and direct submissions of urgent requests + Coordinate provider data between the health plan database...requests + Coordinate provider data between the health plan database and various internal databases + Participate… more