• Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …home, and electronic health records. + Experience may be from either health plan or provider employers. **Preferred** + Familiarity with electronic ... collaborative work with the other members of the value-based reimbursement team, provider relations , senior markets, analytics, actuary and key internal/external… more
    Highmark Health (09/08/25)
    - Related Jobs
  • Provider Engagement Account Manager

    Centene Corporation (East Syracuse, NY)
    …Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of ... experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or… more
    Centene Corporation (09/03/25)
    - Related Jobs
  • Director, Provider -Client Services…

    City of New York (New York, NY)
    …programs and outcomes. Take a leadership role in all meetings relating to vendor relations and Provider -Client Services programs. - Ensure that all units in the ... to the yearly approved Provider -Client Services Operational Plans such as Yearly literacy Plan and Prospecting Plan as well as, state self-audits by all the … more
    City of New York (08/22/25)
    - Related Jobs
  • Senior Manager, Strategy

    Cardinal Health (Albany, NY)
    …benefit designs (eg formulary coverage, direct-to- health plan models) to provide the Trade Relations team with market updates on biosimilars and other ... **Organization Summary:** Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and… more
    Cardinal Health (08/14/25)
    - Related Jobs
  • Senior Director, Network Communications

    WMCHealth (Valhalla, NY)
    …the strategy based on organizational needs and audience feedback. + Public and Media Relations : Provide oversight for all public relations and media outreach ... care concerns or public inquiries with appropriate messaging. Uphold and advance the health system's reputation as a leading, trustworthy provider in all… more
    WMCHealth (09/03/25)
    - Related Jobs
  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Albany, NY)
    …Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + ... as a subject matter expert working in concert with provider relations and clinical transformation consultants to...home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality… more
    Highmark Health (07/30/25)
    - Related Jobs
  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations /Network Development and communicates to them any providers that ... Centers Plan for Healthy Living's goal is to create...we should attempt to recruit. + Ensures Provider Relations /Network Development Representatives are abreast on… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs
  • Licensed Benefits Advisor (Bilingual Preferred…

    Centers Plan for Healthy Living (Brooklyn, NY)
    …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations /Network Development and communicates to them any providers that ... Centers Plan for Healthy Living's goal is to create...we should attempt to recruit. + Ensures Provider Relations /Network Development Representatives are abreast on… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs
  • Oncology RN Interview Day (Min 1 Year RN Exp)-…

    Mount Sinai Health System (New York, NY)
    …about their plan of care, transition of care, promotion of health , and prevention of disease. + Communicates effectively and professionally with patients, family ... interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. + Prioritizes all aspects of patient care including… more
    Mount Sinai Health System (08/12/25)
    - Related Jobs
  • RN - Employee Health - Full Time

    Guthrie (Binghamton, NY)
    …package and up to a $25,000 Sign-On Bonus! About the Role: As an Employee Health RN, you will provide a combination of clinical and clerical support, ensuring ... documents employee injury/illness for appropriate referral for treatment. Keeps Employee Health Medical Provider apprised of employee illnesses as appropriate.… more
    Guthrie (08/28/25)
    - Related Jobs