- GE HealthCare (NY)
- …or related setting. Previous healthcare ultrasound sales experience and selling to managed care / hospital organizations preferred. + Ability to energize, ... management skills + Previous healthcare ultrasound sales experience and selling to managed care /hospital organizations preferred. We expect all employees to live… more
- Staffing Solutions Organization (Albany, NY)
- …have experience and an understanding of Medicaid and Medicaid services, including Managed Care and billing practices **Basic Qualifications:** + Bachelor's ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Kaleida Health (Buffalo, NY)
- …outlook required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation ... reimbursement methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited to: utilization… more
- J&J Family of Companies (Albany, NY)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... + Experience in hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history of successful sales… more
- Molina Healthcare (Syracuse, 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
- Molina Healthcare (Yonkers, NY)
- …or equivalent combination of education and experience. **Required Experience** + 3+ years managed care experience. + Min. 1 year experience completing delegation ... Care related field. **Preferred Experience** + 5 years managed care experience. + 2 years' experience completing delegation oversight assessments/audits. +… more
- Educational Alliance, Inc. (New York, NY)
- …clinical charts, engaging in pre-audits of charts to ensure compliance with OASAS, managed care , and CARF standards. + Send weekly, monthly, and quarterly ... charts, engaging in pre-audits of charts to ensure compliance with OASAS, managed care , and CARF standards. + Send weekly, monthly, and quarterly reports to… more
- Humana (Albany, NY)
- …for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the implementation ... Qualifications: + Bachelor's degree or equivalent + 3+ years of experience in managed care or other pharmacy related field + 3+ years of experience of leading… more
- Humana (Albany, NY)
- …policy administration or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or ... and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations. ... Experience with healthcare insurance prior authorization/coding and performing insurance carrier/ managed care review preferred. National Pharmacy Technician… more