- Cardinal Health (Albany, NY)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed care relationship with current… more
- Elevance Health (Latham, NY)
- …broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities, and ... **Behavioral Health Care Manager II - Autism** **Location:** Virtual: This...is granted as required by law. The **Behavioral Health Care Manager II** is responsible for performing case management… more
- Molina Healthcare (Buffalo, NY)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Molina Healthcare (Albany, NY)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Novo Nordisk (Buffalo, NY)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... About the Department The Cardiometabolic Care Sales Team is at the forefront of...in this job family are as follows: * Cardiometabolic Care Specialist I - $86,000 to $106,000 * Cardiometabolic… more
- Elevance Health (Latham, NY)
- …range of experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities and Experiences:** + ... and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II - ABA** Location: **Virtual** - This role enables… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. ... of succeeding in permanent housing and independent living, improving access to care and health outcomes for low-income and vulnerable populations. The Office brings… more
- MVP Health Care (Rochester, NY)
- …2 years being ASD related + Utilization or Case Management experience in a managed care organization is preferred + Knowledgeable with diagnosis and procedural ... At MVP Health Care , we're on a mission to create a...you have a passion for healthcare, improving access to care , enhancing quality and compliance this is the opportunity… 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 ... Title: Senior Patient Care Coordinator (Medical Assistant-Bilingual Mandarin/Cantonese) Location: Upper East Side Org Unit: Elizabeth Street Work Days: Monday-Friday… more
- Hillside Family of Agencies (Rochester, NY)
- …client files to ensure compliance with all Federal, State, Funder, Medicaid Managed Care and Hillside standards. + Obtain and maintain credential/certification ... for addressing their family's day-to-day needs, including their own needs for self- care . This role requires "Lived Experience" and flexibility with working hours,… more