- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …in rare diseases. Additionally, Minimum of 3 years of relevant experience (clinical, managed care , or pharmaceutical industry); experience in Medical Affairs or ... & Market Access** + Demonstrate proficiency in assessing value/cost of care , hospitalization rates, risk of progression, drug pricing pressures, reimbursement, and… more
- New York State Civil Service (Bronx, NY)
- …need for and carry out consultations with external psychiatric personnel and managed care companies, educate patients individually, participate with other ... Psychiatrist 1 or Psychiatrist 2 - Bronx ATC Occupational Category Health Care , Human/Social Services Salary Grade Hourly Bargaining Unit PS&T - Professional,… more
- The New Jewish Home (Manhattan, NY)
- …statistics and reports as requested by the Director of Admissions. 7. Contacts Managed Care Companies to obtain pre-authorization; reviews level requirements to ... a plus. 3. Previous experience in post acute admissions processes 4. Acute Care experience preferred. 5. Bilingual is a plus. SPECIALIZED SKILLS AND COMPETENCIES :… more
- The Cigna Group (New York, NY)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the… more
- Elevance Health (New Hyde Park, NY)
- …in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); ... or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly… more
- New York State Civil Service (Hauppauge, NY)
- …analyzes background information to identify targets; examines and analyzes fee-for-service and managed care documentation to ensure provider compliance with the ... rules and regulations of the Medicaid program; prepares work papers, checklists, schedules, narratives, tabular material and analysis of findings; writes memos, letters, exit conference summaries, draft and final audit reports; participates in entrance and… more
- Molina Healthcare (Rochester, NY)
- …and market synergies driving overall membership growth and retention. Leads managed - care related business development activities for competitive intelligence, ... which may also include attendance/participation national, state, and local conferences, seminars, and meetings as well as any other business development support activities, as needed. **Job Duties** + Manage and oversee a local field-based team of Facilitated… more
- Samaritan Daytop Village (Bronx, NY)
- …Experience in Substance Use Disorder and Mental Health Disorder + Experience working with Managed Care services and agencies or hospital based experience a plus. ... This position is responsible for the performance and guidance of all department employees and for the direct supervision of the Assistant Director(s) of Admissions and Assessment as well as assuring the quality of clinical and administrative services. Specific… more
- Molina Healthcare (Buffalo, NY)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $42.2 /… more
- Healthfirst (NY)
- …+ **_Highschool Diploma or GED equivalent_** + **_Direct experience working with managed care operations and//or health plans_** + **_Claims experience including ... root-cause analysis, system set-up, etc_** + **_Strong communication skills (both verbal and written)_** + **_Ability to work collaboratively, confidently and influentially various levels of staff and clients_** + **_Excellent organizational skills_** +… more