• Senior Provider Relations Representative

    Molina Healthcare (Buffalo, NY)
    …and/or Provider Services. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...staff are the primary point of contact between Molina Healthcare and contracted provider network. They are… more
    Molina Healthcare (06/15/25)
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  • Representative, Provider Relations HP

    Molina Healthcare (NY)
    …in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...staff are the primary point of contact between Molina Healthcare and contracted provider network. They are… more
    Molina Healthcare (08/02/25)
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  • Provider Contracts Manager

    Molina Healthcare (Buffalo, NY)
    …and hospital contracting, etc. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare ...in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider more
    Molina Healthcare (07/17/25)
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  • Consulting Director - Innosight Healthcare

    Huron Consulting Group (NY)
    …thoroughly examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's ... strategy, M&A/strategic partnerships& alliances, margin expansion, cost strategy etc. within healthcare provider organizations. + Expert-level knowledge of the … more
    Huron Consulting Group (07/18/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Rochester, NY)
    …Medicare Claim Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
    Molina Healthcare (07/18/25)
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  • Associate Analyst, Provider Configuration

    Molina Healthcare (Syracuse, NY)
    …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
    Molina Healthcare (08/01/25)
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  • Provider Recruitment Lead

    UHS (Binghamton, NY)
    …across UHS's provider talent pipeline. Mentorship & Process Oversight + Provide training and onboarding for new provider recruiters and leaders to ... Position OverviewAt United Health Services (UHS), we believe healthcare is fundamentally about people-and the connections that...the connections that bring us together. As a Lead Provider Recruiter, you will play a dual role: leading… more
    UHS (08/02/25)
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  • Associate Director, Provider Engagement…

    Evolent (Albany, NY)
    …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
    Evolent (07/25/25)
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  • Investigator, Special Investigative Unit (Remote)-…

    Molina Healthcare (Yonkers, NY)
    …waste, or abuse. + Coordinates with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, ... identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development,… more
    Molina Healthcare (07/24/25)
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  • Managed Care Provider Enrollment Specialist

    Stony Brook University (Commack, NY)
    Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work under ... Team, you will be responsible for coordinating and facilitating managed care provider and facility enrollment and network participation activities on behalf of SBM.… more
    Stony Brook University (07/09/25)
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