- Catholic Health Services (Melville, NY)
- …insurance eligibility and pre- certification systems. + Must have expertise in insurance, managed care and federal/ state coverage. + Must be customer focused ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- UPMC (Jamestown, NY)
- …with a service excellent attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and history of direct, gracious, ... the flow of information to promote effective communication regarding the patient care and patient operations and disposition. The incumbent will work one 8-hour… more
- Northwell Health (New Hyde Park, NY)
- …pharmacy experience post-licensure, with a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health plans + ... to support P&T Committee decisions and ensure cost-effective, high-quality pharmaceutical care for plan members. **Job Responsibility** + Develops and monitors the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in the health care industry. + Strong working knowledge of Managed Care Industry, Corporate Medical Policies, NCQA standards, HEDIS, CMS requirements, ... the programs through outcome indicators. + Identifies strategies to improve health care resource management and communicates to internal and external customers. +… more
- Caz Recovery (Buffalo, NY)
- …and Risk to ensures all compliance areas required for effective Medicaid Managed Care billing are accomplished. Understands clinical components necessary to ... the above-stated responsibilities as assigned. + Is mindful of and integrates Trauma-Informed Care and its five principles in all duties and interactions with fellow… more
- Outreach Development Corporation (Brentwood, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... Job Scope: + Conducts assessments, intakes and participates in level of care determinations by gathering appropriate data, orienting client to his/her rights 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 ... Summary** Under supervision, is responsible for assisting physicians with patient care , administrative, and organizational tasks as they relate to patient flow… more
- Rochester Regional Health (Rochester, NY)
- …+ Management, Information Systems, Human Resources, Corporate Communications, Pharmacy, Laboratory, Managed Care and Patient Accounting. + Ensures compliance to ... to appropriate Chief(s) of Service with respect to planning, operations, patient care and financial aspects of assigned practices. + Oversees the implementation of… more
- Whitney Young Health Center (Albany, NY)
- …keyboard knowledge. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. All qualified applicants will receive consideration ... Young Health assists the medical providers to provide maximum quality patient care . Maintains an efficient, effective means of patient flow within the medical… more
- Vibrant Emotional Health (New York, NY)
- …and Text Backup and 988 Capital Region. H2H Connect continues to grow as new managed care arrangements and new technologies make it possible to reach more people ... and help lead the future of mental health crisis care ! In this high-impact role, you'll partner with the...we serve. + Knowledge of health and behavioral health care system nationwide and globally, a plus. + Experience… more