- Lumen (Albany, NY)
- …troubleshoots, and supports solutions and infrastructure for the company's Managed Security portfolio. **Technical Documentation and Test Procedures** Defines and ... government environment. - Federal TIC (Trusted Internet Connections) or MTIPS ( Managed Trusted Internet Protocol Services) experience. - Understanding of cloud… more
- University of Rochester (Rochester, NY)
- …inpatient and outpatient care areas. Using independent judgment, ensure inventory is managed in accordance with hospital policy and best practices. Manage and ... inpatient and outpatient care areas. Using independent judgment, ensure inventory is managed in accordance with hospital policy and best practices. Recommend and… more
- New York University (New York, NY)
- …and motivated individual to serve as a program associate for our Managed Care Technical Assistance Center (MCTAC) and Healthcare Innovation team. This position ... training resources. The Program Associate may also support the projects of the Managed Care Technical Assistance Center (MCTAC), an initiative funded by the NYS… more
- Molina Healthcare (Buffalo, NY)
- …issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or… more
- Applause (New York, NY)
- …award-winning software testing and UX research solutions to top brands. Our fully managed services leverage a global team and the world's largest independent testing ... use of company resources. + Strong preference for experience selling technology/ managed services. + Actively participates in regional marketing events for lead… more
- Molina Healthcare (Buffalo, NY)
- …system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of eligibility ... and experience **Required Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or… more
- Deloitte (New York, NY)
- …and business leaders for complex information technology (IT) operate and managed services contracts by executing careful review of contractual documents (and ... Management as follows: + Review and analyze IT operations and managed services contracts to identify and document business-relevant contractual obligations and… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Mount Sinai Health System (Astoria, NY)
- …and re-credentialing functions, including meeting requirements for government, commercial, managed care, and other health plan credentialing following an ... Queens **Responsibilities** + Ensure enrollments for new providers in Medicaid, Medicare, Managed Care plans, Commercial Health plans and Exchange plans. + Identify… more
- Highmark Health (Albany, NY)
- …and state rules as well as a solid working knowledge of managed care operations, compliance program structures, information security and audit methodologies. The ... partner and advisor to business leaders to ensure business decisions are managed according to the enterprise risk strategy / framework.Participates in and… more