- Molina Healthcare (Rochester, NY)
- …matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining ... positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing...5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and… more
- Molina Healthcare (Rochester, NY)
- …requirements. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Buffalo, NY)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… more
- Elevance Health (Latham, NY)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... providers in areas with increased competition or where greater provider education around managed care concepts is required. +...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Elevance Health (Middletown, NY)
- ** Provider Relationship Account Manager ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The ** Provider Relationship Account Manager ** is responsible for providing quality, accessible… 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 and ... operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare . **Role Summary:** The Zone Manager , Provider Privacy will provide operational oversight and leadership as ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...is powered by the largest, most diverse health data network in the US, enabling data to be secure,… more
- Molina Healthcare (NY)
- …trends or other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data ... on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven...experience + 10 years analytical work experience within the healthcare industry (ie, hospitals, network , ancillary, medical… more
- The Cigna Group (New York, NY)
- …integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting ... and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/… more
- Elevance Health (Latham, NY)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... 2 years of customer service experience including 1 year of experience in a healthcare or provider environment; or any combination of education and experience,… more
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