- New York State Civil Service (Tupper Lake, NY)
- …Purchasing Agent, Senior Accountant, Senior Auditor, Senior Budgeting Analyst, Senior Health Care Fiscal Analyst, Resource and Reimbursement Agent 1, or Resource ... financial transactions are authorized and appropriate.* Act as Contract Management Liaison* Other Duties as assigned.LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all#LI-AK1#LI-NB1… more
- The Cigna Group (New York, NY)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal operational standards… more
- Catholic Health (Buffalo, NY)
- …Financial Services collaborates with managed care to ensure accurate managed care pricing and reimbursement , and stewards contracting to ensure ... and financial performance reporting including variance analyses, business plan and/or contract reviews, revenue cycle management, and decision support activities for… more
- The Cigna Group (New York, NY)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- Catholic Health Services (Riverhead, NY)
- …and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network ... we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,… more
- Evolent (Albany, NY)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- WM (Buffalo, NY)
- …as needed on each of the regulations associated with the waste streams being managed (ie, EPA, DOT, DEA, and any other state or local regulations) + Conduct ... and deliver customized training for the implementation and maintenance of the contract + Regularly schedule and complete customer-facing activity with focus on… more
- Elevance Health (Middletown, NY)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications… more
- Centene Corporation (Queens, NY)
- …Bachelor's degree in related field or equivalent experience. 4+ years of managed care , health delivery system and/or project and staff management ... support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices + Focuses on value-based care model… more
- Catholic Health Services (Melville, NY)
- …insurance eligibility and pre- certification systems. + Must have expertise in insurance, managed care and federal/ state coverage. + Must be customer focused ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service,...abreast of changes in Medicare, Medicaid and third-party payer reimbursement requirements. Requirements : + Minimum of 1 years… more