- MVP Health Care (Tarrytown, NY)
- …for our customers in every interaction. Preferred skills: + Experience in a Managed care retail setting + NYSOH Marketplace facilitated enroller certification ... At MVP Health Care , we're on a mission to create a healthier...+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place… more
- Cardinal Health (Albany, NY)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting,… 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
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; 2. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... fashion. 3. Provides clinical information requested by the managed care companies in accordance with contractual agreements. 4. Works collaboratively with… more
- Molina Healthcare (New York, NY)
- …* 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare administration ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to… more
- Catholic Health Services (Melville, NY)
- …and rate load issues. Position requires a thorough understanding and knowledge of managed care contracts, practice and policy. Job Details Duties and ... and trends in payer activity. Coordinates all facility credentialing with the managed care plans. Coordinates the validation of contracts as loaded in contract… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) assures the operational integrity of the Medicaid ... Managed Care program in the City of...Managed Care program in the City of New York. MCCS...between consumers, New York State Department of Health (SDOH), Managed Care Organizations (MCO's), clinics, hospitals, physicians… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... trains new staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues and staff productivity to ensure… more
- Molina Healthcare (Rochester, NY)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding, for example. + Independently delivers training and… more