- Stony Brook University (Commack, NY)
- Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care ... Contracting to lead our Managed Care Contracting Team within the Department of Managed Care . This leadership role is responsible for the… more
- Cardinal Health (Albany, NY)
- …that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other ... (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review,… 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
- WMCHealth (Valhalla, NY)
- …1-3 years of experience in a Healthcare setting, required.Minimum one year in a managed care contracting setting, required. Basic knowledge of reimbursement ... Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC… 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
- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may… 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
- 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
- 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 ... years minimum in analytics development expertise, preferably in health care , or for a health provider, health plan or...or for a health provider, health plan or accountable care organization, including either: + Working knowledge of a… more