- SHI (Albany, NY)
- …or yours.** **Job Summary** The Senior Technical Account Manager (Sr. TAM) on the Managed Services team serves as the client's main point of contact for proactive ... post-sales managed services activities for SHI Managed Services in the Services Managed Services Group. The Sr. Azure TAM is responsible for driving customer… more
- SHI (Albany, NY)
- …We are seeking an experienced and dynamic Sr. Manager to lead our Managed Services and Field Services Presales practice. This role is responsible for developing ... ideal candidate will combine deep expertise in building and positioning managed support offerings with strong leadership, business development, and operational… more
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including reimbursement ... formulas/calculations in accordance with payment methodology (DRG, Medicare/Medicaid, Managed Care - Commercial, etc,). Validates payment rate calculations and… more
- Catholic Health Services (Melville, NY)
- …the Catholic Health Physician Advisor when appropriate. Reviews results from managed care payors and/or regulatory agencies determinations for further action. ... clinical information Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations Meets department standards Attends meetings as… more
- Arnot Health (Elmira, NY)
- …strategies to reduce length of stay and resource consumption within case managed populations, implements these strategies and documents the results. ** 10. Manages ... including the role and the unique needs of case managed patient population. ** 14. As a member of...programs of care meetings related to the appropriate case managed population. d. Manages the appropriate collaborative care plans… more
- SHI (Albany, NY)
- …aligning SHI client needs with security architecture, consulting, professional and managed services solutions. Additionally, as a highly skilled professional you ... address their unique challenges by leveraging Stratascale's consulting and managed services. The Cybersecurity Architect is responsible for collaborating with… more
- Mount Sinai Health System (Greenlawn, NY)
- …them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures, diagnostic ... + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and work with… more
- Molina Healthcare (Buffalo, NY)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 ... customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in ...managed care setting. * 3+ years experience in managed healthcare administration and/or Provider Services. * Working familiarity… more
- Cardinal Health (Albany, NY)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take place between...between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity… more
- City of New York (New York, NY)
- …doctors, medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) assures the operational integrity of the Medicaid ... Managed Care program in the City of New York....between consumers, New York State Department of Health (SDOH), Managed Care Organizations (MCO's), clinics, hospitals, physicians groups, and… more