- 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
- Molina Healthcare (Rochester, NY)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... experience. Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues with… 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
- City of New York (New York, NY)
- …system for individuals with intellectual and/or developmental disabilities, including Medicaid managed care , value-based payment, and program models - Track ... work independently. - Familiarity with health insurance policy, including Medicaid and managed care principles. - Strong research, analytical, oral, writing and… more
- Takeda Pharmaceuticals (New York, NY)
- …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... and hospital accounts. **How you will contribute:** + Research prospective Health Care Professionals (HCPs) to identify the right customer stakeholders to present… more
- Grifols Shared Services North America, Inc (New York, NY)
- …strategy, aligns tactics to the needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... + Educate and promote IG product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. + Key Opinion Leader… more
- Centene Corporation (Queens, NY)
- …and participate in various projects to learn and develop skills related to the Managed Care industry. + Develop clinical knowledge and skills by learning about ... various processes and functions within the Managed Care industry + Observe processes and shadow preceptors to gain hands on experience and become familiar with… more
- Arms Acres (Bronx, NY)
- …and intervention with client support systems, including social service programs and managed care . ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. ... develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care /insurance entities. Attend and/or facilitate Family program.… more
- New York State Civil Service (Albany, NY)
- …Zip Code 12229 Duties Description The Office of Financial Management, Strategic Financial & Managed Care Group is recruiting to fill a Mental Health Program ... work groups.* Support the Bureaus within the Division of Strategic Finance and Managed Care in a broad range of health plan evaluation activities.* Assist the… more