- Healthfirst (NY)
- …problem solving, and analytical skills. + Experience within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). ... value. + Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Syracuse, NY)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... Network), for management and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …corresponding policy, procedure, and programs. **Job Summary:** Reporting to the Director of Operations , the Manager of Compliance and Clinical Operations is ... state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance and Clinical Operations will also have… more
- Bank of America (New York, NY)
- …If you are a mid-career product management professional with expertise in healthcare claims payments, clearinghouse / payer technology solutions, revenue cycle ... Healthcare Solution Product Manager Atlanta, Georgia;New... industry: powering faster electronic payments, automating revenue cycle operations , and enhancing the digital patient experience. The future… more
- City of New York (New York, NY)
- …distribution. Coordinate identification and application for new funding opportunities. OHSSA Healthcare Operations and System Improvement: Manage key vendor ... New York City. The Bureau of Equitable Health Systems seeks to hire a Healthcare Payment and Financing Innovation Manager . This position will be responsible for… more
- Molina Healthcare (Yonkers, NY)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... productivity, quality, compliance + Articulates the goals and objectives of Molina Healthcare business units to vendors supporting operations of those units… more
- Molina Healthcare (Yonkers, NY)
- …The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Walgreens (Depew, NY)
- …with the Store Manager **Job ID:** 1661137BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... when using the pharmacy. Enhances customer experience by increasing focus on healthcare services. ** Operations ** + Responsible for assisting pharmacist in the… more
- Healthfirst (NY)
- …Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing, ... + Experience in Healthcare /Health Plan customer service, operations , vendor management, or claims processing. +...Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims… more