- Mount Sinai Health System (New York, NY)
- …timely charge capture. + Organizes routine meetings with health system business leaders and managed care to review charge and revenue capture and performance. + ... relationships with key stakeholders across departments (eg, DTP, Human Performance, Managed Care , Finance, and clinical departments) + Collaborates with… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- UHS (Binghamton, NY)
- …Health Services (UHS) is seeking a detail-oriented Contract Technician to join our Managed Care Contracting team. In this role, you will review and ... care is delivered. Primary Department, Division, or Unit: UHS Managed Care Contracting Primary Work Shift: Day Regular Scheduled Weekly Hours: 40… more
- Mohawk Valley Health System (Utica, NY)
- …seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. + Participates in departmental ... Registered Nurse - Care manager - Full Time - Days Department: CARE MGMT SVCS Job Summary The Care Manager is responsible for completing a comprehensive… more
- Mohawk Valley Health System (Utica, NY)
- …related issues. Communicates with members and their families regarding information about Managed Long Term Care (MLTC) services. Provides summary reports, ... Care Navigator - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Managment Navigator provides support to the Care Managers and… more
- Molina Healthcare (Syracuse, NY)
- …requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more
- Sanofi Group (New York, NY)
- …working relationships with various members of the Sanofi Team including Marketing, Managed Care , Analytics, Accounting, Compliance, Legal and other team members. ... + Maintain extensive knowledge of the Managed Care , GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and reimbursement environment for their… more
- CDPHP (Latham, NY)
- …to work with our Medical Director team. Great opportunity to get involved in managed care ! QUALIFICATIONS: + MD or DO required. Additional advanced degree(s) ... clinical practice experience required. + Minimum of three (3) years managed care or practice management is preferred. + Strong interpersonal, persuasive and… more
- Humana (Albany, NY)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... experience, and judgement to make determinations whether requested services, level of care , and/or site of service should be authorized. All work occurs within… more
- Caz Recovery (Buffalo, NY)
- …and family members. + Oversees regular consultation with other providers, legal agencies, managed care providers and other needed services; as well as oversight ... referrals, coordinates services and maintains regular ongoing consultations with other providers, managed care organizations, legal agencies, etc. + Ensures that… more