- Evolent (Albany, NY)
- …skills + Outstanding written and oral presentation skills + Preferred experience with managed care and/or provider engagement **To comply with HIPAA security ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Resource Recovery Center of Orange County LLC (Middletown, NY)
- …substance abuse population Prior medical administration experience Skills: Quality improvement, and managed care program and information systems, as well as ... County is dedicated to providing the highest quality of care to those suffering from Alcohol and Substance Use...regulatory standards. Assist with ensuring that standard of patient care is maintained; these standards are based in "best… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more
- Albany Medical Center (Albany, NY)
- …across the continuum of care .* Expertise in entitlement eligibility, managed care , guardianship, immigration and naturalization laws.* Ensures efficient and ... as AMC Liaison with executive leadership interfacing with continuum of care providers and public agencies including: SNF Administrators, vendors, CHHAs,… more
- Molina Healthcare (Syracuse, NY)
- …experience is required + Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred **Required Competencies / Knowledge / ... member's medical provider, dental provider, Case Manager, Call Center, or healthcare care professional and are based on a current, comprehensive evaluation and… more
- Weill Cornell Medical College (New York, NY)
- …+ Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working ... provides administrative and secretarial support related to coordinating patient care within the clinical practice. **Job Responsibilities** + Responsible for… more
- Humana (Albany, NY)
- …Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including ... and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies… more
- WellLife Network (Smithtown, NY)
- …OMH and/or OASAS licensed programs. + Strong understanding of NYS Medicaid billing, managed care , and Clinic/PROS regulatory frameworks. + Proven success in ... and Development, Quality Assurance, and Fiscal, to ensure integrated care , effective service promotion, regulatory alignment, and financial sustainability across… more
- Northwell Health (Staten Island, NY)
- …program limits, as required.*Serves as primary contact to insurance carriers and managed care companies. Ensures patients are appropriately certified and assists ... and appropriateness for admission to particular modality and level of care .*Provides referrals to those not accepted into treatment.*Recognizes possible signs and… more
- Molina Healthcare (Buffalo, NY)
- …Qualifications** **Required Qualifications** + At least 4 years of experience in pharmacy, managed care , Pharmacy Benefit Management (PBM) or health care , ... overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care ....health care outcomes, and quality cost-effective member care . **Job Duties** + Hires, trains and manages a… more