- Molina Healthcare (Syracuse, NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to meet Molina's network adequacy standards. * Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician,… 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
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement , managed care contracts, and healthcare finance. ... Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and is...volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle… more
- Albany Medical Center (Albany, NY)
- …be primarily responsible for supporting system-wide service line reporting, financial analysis and managed care contract valuation and analysis for Albany ... gathering all the contractual terms and rates for our managed care contracts in addition to government...evaluation + Solid data analysis skills and familiarity with reimbursement , contract management and other decision support… more
- Cardinal Health (Albany, NY)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …: Incidental travel required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, ... + Monitor contract compliance, escalate disputes, and drive resolution of reimbursement issues. + Work closely with the Executive Team, Pharmacy Operations, and… more
- Baylor Scott & White Health (Albany, NY)
- …or correspondence. Collects inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...resolve payment issues and penalties owed to BSWH under Managed Care contracts. + Contacts insurance company… more
- CVS Health (Albany, NY)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Albany, NY)
- …administration in a healthcare company or related area + Experience working with managed care contracts with large physician groups, ancillary providers and/or ... ACO/Risk Contracting + Experience with Value Based Contracting + Experienced in negotiating managed care contracts + Texas market experience (live within region,… more
- Amgen (New York, NY)
- …metrics, CHF/interventional performance priorities) + District Management Experience preferred + Reimbursement / managed care experience highly desirable ... Develops and executes innovative strategies to reach difficult to access health care providers and accounts in a compliant manner + Maintains comprehensive account… more
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