- Bassett Healthcare (Oneonta, NY)
- …What you'll do The Facilities Coordinator I is a User of the Bassett Healthcare Network 's Computerized Maintenance Management System, including review and ... direction of the Facilities Director. User for the Bassett Healthcare Network 's Computerized Maintenance Management ...for all shops on a daily basis and will provide customer service calls as required Completes designated monthly… more
- Molina Healthcare (Buffalo, NY)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (NY)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Molina Healthcare (Syracuse, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information ... + Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately… more
- CenterWell (Albany, NY)
- …fast-paced, matrixed environment. + Knowledge of healthcare reimbursement models, provider network management , and value-based care principles. ... and strategic insights to drive value-based specialty care programs, specialty provider network development, and financial performance. The Senior Analyst… more
- Molina Healthcare (Syracuse, NY)
- …Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** + Lead system and process solution initiatives from… more
- CVS Health (Albany, NY)
- …of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen. - ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...unique opportunity to work directly with plan sponsors, account management , local/ national network , clinicians and analysts… more
- Stony Brook University (Commack, NY)
- …Team, you will be responsible for coordinating and facilitating managed care provider and facility enrollment and network participation activities on behalf ... Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook... management skills and be proficient in database management . + Demonstrate background in healthcare credentialing… more
- Highmark Health (Albany, NY)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics. Support… more