- 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
- CVS Health (Albany, NY)
- …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years Medicaid ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Cardinal Health (Albany, NY)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... seasoned expertise in the managed care industry, this leader translates the overarching market access sales strategy into actionable, target-exceeding results.… more
- Mount Sinai Health System (Greenlawn, NY)
- …assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures, ... + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and work with a… more
- Molina Healthcare (Albany, NY)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie,… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... fashion. c. Provides clinical information requested by the managed care companies in accordance with contractual agreements. d. Works collaboratively with… more