- 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
- Molina Healthcare (Yonkers, NY)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL… more
- Arms Acres (Carmel, NY)
- …and intervention with client support systems, including social service programs and managed care . *sign on bonus eligible DUTIES AND RESPONSIBILITIES: ... develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care /insurance entities. Participates in facility program and quality… more
- Helio Health Inc. (Syracuse, NY)
- …assist and model for staff coordination between prescribing physicians, their designees, managed care companies, labs and pharmacies to ensure all requirements ... changing trends with medications, ability to fill medications, coordination with Physicians, managed care and pharmacies. + Identify staff training needs related… more
- Molina Healthcare (Rochester, NY)
- …environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed ... care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven… more
- Merck (Albany, NY)
- …high influence Oncology customers in large group practices, hospitals, or managed care organizations. MSJR oncosales **Required Skills:** Accountability, ... Customer Relationship Management (CRM), Employee Performance Evaluations, Inbound Phone Sales, Managed Care , Market Analysis, Medical Device Management, Medical… more
- Calvary Hospital (Bronx, NY)
- …by Calvary Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to ... the various programs provided by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital.… more
- Molina Healthcare (Syracuse, NY)
- …deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. + Collaborates with IT and business leaders ... **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in managed care , including strategy, enterprise transformation, digital innovation, technology… more
- Molina Healthcare (Buffalo, NY)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: Administrative, coordination, communications, education Preferred: Training, Managed Care , Sales Specific Technical Skills Required ... managerial skills + Able to work in a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION #… more