- 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 (New York, NY)
- …management and improve quality of life. **Desired Skills (Combination of and/or):** + Managed Care - Medicaid + Case Management + Quality medicine reconciliation ... MS) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience.… more
- Boehringer Ingelheim (Poughkeepsie, NY)
- …comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area Managers to generate and sustain support for ... additional responsibilities in teaching hospitals, federal and military hospitals, managed health care facilities, group purchasing organizations, integrated… more
- New York State Civil Service (Albany, NY)
- …analytics models and reimbursement rate methodologies for CDPAS providers and managed care plans; Prepare briefing materials-PowerPoints, policy memos, data ... administration of progressively responsible experience in Medicaid policy, program implementation, or managed care operations; OR a bachelor's degree and five… more
- Catholic Health Services (Rockville Centre, NY)
- …The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement, managed care contracts, and healthcare finance. Key Responsibilities: ... changes in volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle teams to evaluate payer performance and… more
- Health Plus Management LLC (Uniondale, NY)
- …insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations + Knowledge of ICD-10 and CPT codes ... terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations + Proficient in the use of computers, insurance… more
- Centene Corporation (New York, NY)
- …create workflows, improve processes, and ensure completeness and accuracy of reporting. + **Healthcare Managed Care :** + Understanding of Medicaid managed ... Remote role with once/quarter in-person meeting **Position Purpose:** With the Fidelis Care Accounting Team in NY, you will supervise the cost reporting team,… more
- Merck (Albany, NY)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... Partners with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-through + Shares learning and best-practices from one customer to… more
- Molina Healthcare (Yonkers, NY)
- …a clerical role in a claims, and/or customer service setting - preferably in managed care , or equivalent combination of relevant education and experience. * ... Qualifications** * Claims recovery experience. * Health insurance experience in a managed care setting. To all current Molina employees: If you are interested in… more
- Molina Healthcare (Buffalo, NY)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more