- Guthrie (Corning, NY)
- …Director and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. ... flow of services by acting as a focal point for communication for healthcare team members, patient, provider , and payer. b) Maintains accountability for… more
- Guthrie (Binghamton, NY)
- …Director and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. ... flow of services by acting as a focal point for communication for healthcare team members, patient, provider , and payer. b) Supports development, integration,… more
- Datavant (Albany, NY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... working across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development aligned with… more
- Highmark Health (Albany, NY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Anthony Jordan Health Corp (Rochester, NY)
- …or Business Administration. . Minimum 1 year of experience in a healthcare setting, with responsibilities involving risk management , patient safety, quality ... patients. While independent, Jordan Health actively collaborates with the major hospital and healthcare systems in our operating area to provide a total safety… more
- Trinity Health (Albany, NY)
- …**Experience:** + At least 5-7 years of progressive leadership experience in healthcare management and service development, particularly within Oncology services ... to leadership on programmatic investment areas. + In collaboration with the provider engagement/ network development team, support efforts to expand and… more
- CenterWell (Albany, NY)
- …experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current… more
- Cardinal Health (Albany, NY)
- …partner Area Sales Managers and Strategic Account Managers within your member network to collaborate and drive Specialty Networks solutions across more members to ... provide holistic partnerships. **_Location and Travel_** - This individual...more than) 55% to member practices across this specific network to engage in meetings, programs, presentations, conferences etc.… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …as an Emergency Management Specialist for the VA Western New York Healthcare System (VAWNYHS), Medical Center in Buffalo, NY. As the Program Manager, you will ... Network (VISN), VHA, the VHA Office of Emergency Management (OEM), and community stakeholders. The EMS works with...conclusions lead to a continual improvement of the emergency management program throughout the healthcare system. Prepares… more
- Mount Sinai Health System (New York, NY)
- …satisfaction and retention initiatives to support the ongoing growth of patients under management by the network . + Monitors practice to ensure compliance with: ... an integral part of the health care team at Mount Sinai physician network practice sites and/or faculty practice. The DCC formulates cohesive relationships with… more