- Healthfirst (NY)
- …exceeding growth and retention expectations. + Prepare weekly and monthly events calendars, managed care reports, order supplies for events and submit monthly ... expense reports.Prepare weekly calendar of appointment and opportunities as required. **Minimum Qualifications** + **Must be able to travel 75% of the time.** + **Experience in Sales (ie retails, product, etc.), Marketing and//or Community Outreach Programs.**… more
- Wolters Kluwer (New York, NY)
- …+ Minimum 5 years of clinical experience in hospital, ambulatory, or managed care settings. + Active clinical practice preferred; board certification ... strongly preferred. + A valid license in at least one US state, preferred + Strategic mindset with the ability to contribute to central clinical content strategy and influence product direction. + Experience with clinical decision support tools, formulary… more
- Guardian Life (Albany, NY)
- …dental network recruitment or direct sales + 5+ years of experience in a managed care environment dealing with dental providers (DSO experience preferred) + ... College degree preferred or equivalent related work experience + Computer skills and extensive skill with MS applications such as Word, Excel, and Outlook. Salesforce experience preferred + The ability to travel occasionally based on business need You will +… more
- Molina Healthcare (Syracuse, NY)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... complex SQL Queries, Functions, Procedures and Data design * 5+ years of experience in working with **Microsoft T-SQL, Databricks SQL and PowerBI.** * Familiarity with Data Science Techniques and languages like Python and R programming would be an added… more
- Healthfirst (NY)
- …**_Minimum Qualifications_** **_:_** + **_High School Diploma_** + **_Managed Care operations; working with various business partners to facilitate resolution ... (Legal, Regulatory//Compliance, Quality)_** + **_Project planning small and large scale initiatives_** + **_Familiarity with implementing corrective action plans and recommending approaches on how to improve efficiency in process flows._** + **_Great attention… more
- Catholic Health Services (Rockville Centre, NY)
- …insurance website + Appropriate authorization and/or referral information is obtained per Managed Care guidelines; all pertinent information is documented in ... notes and entered into the appropriate registration fields. + As part of Revenue Cycle management, collects co-payments, co-insurance, deductible and self pays at point of service Salary Range USD $25.89 - USD $25.89 /Hr. The salary range or rate listed does… more
- Elevance Health (Latham, NY)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard ... arrangements that require a moderate level of negotiation skills. + Fee schedules can be customized. + Works with increased independence and requires increased use of judgment and discretion. + May work on cross-functional projects requiring collaboration with… more
- Molina Healthcare (Yonkers, NY)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with government sponsored programs, including risk revenue management, strategy, and compliance + Knowledge of… more
- Access: Supports For Living (Middletown, NY)
- …health billing in New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care , and Commercial Insurance. Key Responsibilities + Lead and ... supervise a billing team of up to 8 staff. + Manage all aspects of the revenue cycle, including billing systems, insurance verifications/authorizations, collections, and payment processes. + Maintain a clear understanding of claims processing, payer denials,… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …(eg, NICE) is helpful. Customer-facing experience at country level is required. US managed care experience is a strong advantage. Does this sound like ... you? Apply now to take your first step towards living the Regeneron Way! We have an inclusive and diverse culture that provides comprehensive benefits, which often include (depending on location) health and wellness programs, fitness centers, equity awards,… more