- Arc Allegany-Steuben (Bath, NY)
- …and business operations, including custom apparel decoration , light hand-assembly, vendor- managed inventory, and contract cleaning services. This is a unique ... day-to-day operations of agency-run businesses (custom apparel decoration, light assembly, managed inventory , and contract cleaning crews) + Supervise vocational… more
- Sodus Rehab & Nursing Center (Utica, NY)
- …& bed hold logs. + . Obtain authorization single case agreement for all Managed Care patients. + . Provide notification to Nursing Home Leadership Team regarding ... Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status. + . Submit daily referral report. + . Submit… more
- City of New York (New York, NY)
- …Monitor and coordinate incident reporting matters across a large portfolio of city owned/ managed and provider managed facilities. - Liaise with DHS stakeholders ... and providers to fulfill the requirements of annual OTDA Serious Incidents Reports. - Manage relationships with internal and external stakeholders related to serious incidents. - Ensure that staff adhere to reporting timeframes and conduct appropriate… more
- Kaleida Health (Buffalo, NY)
- …required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation guidelines, ... methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited to: utilization review,… more
- IQVIA (Bronx, NY)
- …of submission rejection. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an ... advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA… more
- Evolent (Albany, NY)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups + ... with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + Passion… more
- Centene Corporation (New York, NY)
- …the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + ... administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies,… more
- Mount Sinai Health System (New York, NY)
- …at least bi-weekly appointment with each patient on caseload * Interfaces with managed care companies and referral sources to implement Treatment Plans * Provides ... of the hospital staff and extended community * Communicates effectively with managed care, insurance companies, EAP's, and other current or potential referral… more
- City of New York (New York, NY)
- …closely with internal and external partners to ensure that DHS facilities, directly- managed and those managed by provider agencies, comply with statutory, ... regulatory and contractual obligations governing the provision of shelter in New York City. ORCA carries out its mission through collaboration with Agency personnel to develop initiatives that optimize the Agency's resources to comply with regulatory… more
- TD Bank (New York, NY)
- …operational issues (eg vendor issues and surveillance outages) are appropriately managed , addressed, tracked and reported on in governance. + Surveillance Portfolio ... risk from a Compliance standpoint is being effectively mitigated, assessed, and managed . + Keeps current on emerging risks, trends and evolving regulatory… more