- WTW (New York, NY)
- …needs of health and welfare plans + Understanding of the fiduciary health plan litigation landscape, emerging litigation trends, and governance structure and ... research and advising clients and consultants on a wide range of health and welfare plan issues + Analyzing legislation, regulations and case law with respect to… 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, ... This role serves as the primary point of contact between Molina Health plan and the for non-complex Provider Community that services Molina members, including… more
- Northeast Family Services (Brooklyn, NY)
- …the day after Thanksgiving, Christmas Eve, and NY Eve.) + Generous sick time including mental health days + 401k retirement plan with up to 4% match + Voluntary ... Northeast Family Services is premier mental health provider with over 20 years experience providing...home for the purpose of treating a youth's behavioral health needs. We utilize multiple evidence-based practices that promote… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures ... the provider community in conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease… more
- Molina Healthcare (Nassau, NY)
- …offices, etc. + Empowers members by helping them navigate and maximize their health plan benefits. + Assistance may include: scheduling appointments with ... works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum,… more
- Arnot Health (Elmira, NY)
- …working knowledge of department Standard Operating Procedures (SOP), Policy Manual, Arnot Health Comprehensive Emergency Management Plan and Fire Manual. ** 6. ... supervision, performs duties to ensure the safety and security of Arnot Health patients, visitors, students and employees; applies crime risk and safety hazard… more
- Sharecare (Albany, NY)
- …and facilitate educational opportunities (ie, education materials; refer to employer or health plan specific vendors or other Sharecare programs as appropriate). ... participants in their own healthcare management for their chronic condition. By providing health education and resources, reviewing the provider's plan of care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …will typically have less complex financial arrangements and will be predominantly Health Plan based employee populations. * Responsible for providing solutions ... skills. Physical Requirements: * Ability to travel across the Health Plan service region for presentations, meetings, and/or trainings as needed.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the ... functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for… more
- Nuvance Health (Poughkeepsie, NY)
- …referring physician for health care provider review. 2. Review patient schedule with health care provider and plan for clinical day. 3. Helps to prepare, ... tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under… more