- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may include the ... and trains new staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues and staff productivity to ensure… more
- M&T Bank (Buffalo, NY)
- …to staff. + Coordinate compilation of month-end data for unit activities managed for distribution to and decision-making by management. + Interact routinely with ... Division/Department management to establish business objectives specific to the unit(s) managed . + Evaluate unit processes, procedures and policies routinely and… more
- Robert Half-Robert Half Corporate (New York, NY)
- …revenue by generating business opportunities for all Robert Half practice groups, managed solutions, and Protiviti for each account in their portfolio. The BD ... their organization and educate assigned practice group points of contact (POCs), managed solutions vice presidents, and Protiviti to increase our account market… more
- CVS Health (Albany, NY)
- …to travel up to 40% of the time. **Required Qualifications** - 3+ years of managed care Pharmacist experience and/or 1 year of Managed Care Residency program. - ... good standing. - Demonstrated experience in a client-facing role within the managed care environment - Demonstrated understanding of and experience with utilization… more
- Mount Sinai Health System (New York, NY)
- …within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion. ... c. Provides clinical information requested by the managed care companies in accordance with contractual agreements. d. Works collaboratively with physicians and … 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
- Molina Healthcare (Queens, NY)
- …eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care, Child Health Plus and Essential Plan. Additionally, the MFE ... assists in selection of the appropriate health plan. The Enroller provides information on managed care programs and how to access care. The MFE is responsible for… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals ... with customer segmentation and enhance formulary and dosing protocols. *Utilization of Managed Markets, Marketing, Ig Nurse Educators, MSL, etc. *Educate and promote… more
- Molina Healthcare (NY)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 ... - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider… more
- Evertz Microsystems Limited (Hauppauge, NY)
- …and key processes, reviewing system and application logs. + Ensure events are managed until resolution while adhering to Incident and SLA guidelines. + Act as ... Singapore, and Australia. Evertz was named one of Canada's 50 Best Managed Companies, which recognizes excellence in Canadian-owned and Canadian- managed … more