- New York State Civil Service (Orangeburg, NY)
- …need for and carry out consultations with external psychiatric personnel and managed care companies, educate patients individually, participate with other ... Psychiatrist 1 or 2 (Hourly) - Blaisdell ATC Occupational Category Health Care , Human/Social Services Salary Grade Hourly Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Albany, NY)
- …a hearing request. This includes identifying the appropriate local district location, managed care organization, or State entity.* Fields compliance complaints, ... from the Fair Hearing Information System, Welfare Management System, Automated Child Care Information System, New York City Work Accountability and You, State… more
- Molina Healthcare (Rochester, NY)
- …research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's ... Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years customer service, claims, provider and investigation/research experience. LTSS claims experience **PHYSICAL DEMANDS:** Working environment is generally favorable and… more
- Humana (Albany, NY)
- …roles. + Deep understanding of compliance, regulatory requirements, and quality metrics in managed care . + Strong analytical and communication skills, with the ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Albany, NY)
- …and professional growth **Preferred Qualifications** + Healthcare industry experience, preferably in the managed care or provider sector + MBA, MA/MS, PhD, or ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Albany, NY)
- …+ MBA, MPH, PhD, or graduate degree in a management field + Managed care and/or healthcare services work experience + Experience leading strategy ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… 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 ... appointment scheduling systems (EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC- Care ). + Knowledge of CPT, ICD-9, and ICD-10 coding.… more
- Humana (Albany, NY)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Albany, NY)
- …and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Elevance Health (New York, NY)
- …interacting and assisting individuals throughout the NY State's health insurance programs; (Medicaid Managed Care , Child Health Plus, and the Essential Plan) is ... is responsible for providing education to potential members on the Affordable Care Act and the marketplace and facilitating new enrollments. **How you will… more