- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... all federal, state, and local regulations for governing payer contracting , stays informed of the health care ...payer contracting , stays informed of the health care regulatory environment to mitigate risks. + Engages staff… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mount Sinai Health System (New York, NY)
- … contracting , finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Cardinal Health (Albany, NY)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care... contracting staff to improve contract outcomes. b. Care Management Helps to identify, understand and prioritize at-risk… more
- Intermountain Health (Albany, NY)
- …rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides ... feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...contracts are aligned with original intent of health system contracting efforts. + Work with Compliance, Finance and Government… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Highmark Health (Albany, NY)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical ... identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care... contracting staff to improve contract outcomes. 2. Care Management - Helps to identify, understand and prioritize… more
- Humana (Albany, NY)
- …**Required Qualifications** + 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider ... our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other… more