- Molina Healthcare (Syracuse, NY)
- …marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Responsible for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on ...within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising… more
- Molina Healthcare (NY)
- … healthcare environments. Candidates with direct experience in **launching provider operations, systems, or credentialing programs** are strongly encouraged to ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations and… more
- 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
- Datavant (Albany, NY)
- …sales. + Proven track record in consultative sales and relationship-building within the healthcare provider ecosystem. + Experience with complex sales cycles and ... of professional, educational and life experiences to realize our bold vision for healthcare . The Vice President of Growth, Provider GTM will lead growth… more
- Independent Health (Buffalo, NY)
- …required. + Prior experience in customer service required, preferably in a healthcare setting. Experience working with provider offices is strongly preferred. ... internally or externally. + Identify potential system configuration or billing issues and provide education to the provider to correct errors. + Act as… more
- Evolent (Albany, NY)
- …NORTHEAST 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 **Northeast** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- The Cigna Group (New York, NY)
- …experience in lieu of a Bachelor degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/ Provider /Ancillary** **group ... into the NYC office two times per month._** The ** Provider Contracting Lead Analyst** serves as an integral member...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- 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
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims, ... reimbursement designed to achieve value for the health plan, provider partners, and members. This individual will be responsible...Health's ability to deliver high quality, high value care, provide management with the ability to assess the impact… more