- 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 ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...trains new staff regarding departmental/unit policy and procedure, including Managed Care Contracts. + Monitors work queues… more
- Intermountain Health (Albany, NY)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more
- New York State Civil Service (NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Labor Relations Occupational Category Administrative or General Management ... Employee Relations (BER) is responsible for the administration of bargaining unit contract agreements with the public employees' unions, (CSEA, PEF, NYSCOPBA and… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... City Albany State NY Zip Code 12229 Duties Description The Program Operations Specialist 1 will work with the Bureau of Assessment Oversight and Coordination (BAOC),… more
- New York State Civil Service (New York, NY)
- …and ability to learn new data systems.Familiarity with the Medicaid Managed Care /Family Health Plus/HIV Special Needs Plan Contract and other federal and ... protocols.* Analyze data and arguments to make well-reasoned determinations for Medicaid managed care reviews.* Apply Medicaid policy, regulations and Medicaid … more
- Molina Healthcare (Rochester, NY)
- …ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other VBC related special projects ... and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and... field including, but not limited to, provider's office, managed care , or other health care… more
- New York State Civil Service (Schenectady, NY)
- NY HELP No Agency Workers' Compensation Board Title Public Information Specialist 1 (Digital Content), WCB Item #4073 Occupational Category Other Professional ... Duties Description Under the direct supervision of the Public Information Specialist (Digital Content) SG-23, within the Branding and Stakeholder Engagement Unit,… 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
- Oracle (Albany, NY)
- …and Cloud deployments and operations. The Services Portfolio includes Managed Services, On-Premise, Hybrid Cloud, Applications, Platforms and Databases ... projects for effective and efficient use of Oracle delivery resources, achieving the contract margin and revenue objectives. + Identify and submit delivery leads for… more
- Molina Healthcare (Syracuse, NY)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
