- Evolent (Albany, NY)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + Passion… more
- Outreach Development Corporation (Brentwood, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... services. + Conduct toxicology testing as needed. + Oversee and/or coordinates care with managed care organizations of identified clients who need either… more
- Outreach Development Corporation (Brentwood, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... services. . Conduct toxicology testing as needed. . Oversee and/or coordinates care with managed care organizations of identified clients who need either… more
- Elderwood (Monroe County, NY)
- …(3) years nursing experience in home care , case management, discharge planning or managed care + Minimum of one (1) year experience working with a frail ... assessments in the Member's home to assess potential enrollees' appropriateness for Managed Long-Term Care (MLTC), or to reassess a member's status and needs. +… more
- Humana (Albany, NY)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... and other responsibilities as determined necessary to support optimal value based care in accordance with Medicare and Humana policy. The Medical Director will… more
- Highmark Health (Albany, NY)
- …year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL,… more
- Elmcrest Children's Center (Syracuse, NY)
- …to schedule and communicate with team when there are changes. + Completion of Managed care contact notes (progress notes) + Attending supervision and staff ... meetings as needed and requested. + Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager, on each case to… more
- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... offset the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage with… more
- CVS Health (Albany, NY)
- …significance or those yielding cost savings. + 10+ years of experience in managed care , health insurance, marketing, or related industries. + Competency in ... organizational levels, including executive leadership. **Preferred Qualifications** + Experience within managed care or the health insurance industry. +… more
- CDPHP (Latham, NY)
- …(5) years clinical practice experience required. + Minimum of three (3) years managed care or practice management is preferred. + Strong interpersonal, ... persuasive and negotiating skills are required. + Commitment to managed health care . Excellent standing in the medical community is required. + Demonstrated… more