- Cardinal Health (Albany, NY)
- …necessary to ensure contract compliance. Has the ability to understand managed care trends and competitive positioning. + Exhibits strong financial acumen ... and logical decision-making skills in the general business environment. Validates managed care contracts through review and understands and demonstrate sound… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... **Position Purpose:** Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on… more
- Molina Healthcare (Buffalo, NY)
- …seeking candidates with a New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience. Candidates with experience in ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care...Psychology (PhD or PsyD) or equivalency based on state contract , regulation, or state board licensing mandate. If licensed,… 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 ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...to develop a value based strategic plan and manage contract performance with targeted provider groups to ensure we… more
- Adecco US, Inc. (New Hyde Park, NY)
- …office experience; Urgent Care experience . Knowledge of insurance carriers and managed care plans . EPIC experience preferred but not required **Why work ... Adecco Healthcare & Life Sciences is hiring a **Patient Care Coordinator** in **New Hyde Park, NY** ! This...an updated resume for consideration. **Type:** Four - month contract , opportunity for extension or fulltime offer **Schedule:** Mon,… 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 ... and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting...experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider … more
- Elevance Health (Latham, NY)
- …range of experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities and Experiences:** + ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II -...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- Adecco US, Inc. (New Hyde Park, NY)
- …office experience; Urgent Care experience * Knowledge of insurance carriers and managed care plans **Why work for Adecco?** Weekly Pay 401(k) Plan Skills ... & Life Sciences is hiring for an Associate Patient Care Coordinator role in New Hyde Park, NY. Apply...Location: New Hyde Park, NY (onsite) Duration: 2 month contract Pay rate: $16-$19.07 / hour **Primary Responsibilities:** *… more
- Cardinal Health (Albany, NY)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… 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 ... + Educates and trains new staff regarding departmental/unit policy and procedure, including Managed Care Contracts. + Monitors work queues and staff productivity… more