- 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...government changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies… more
- Evolent (Albany, NY)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Cardinal Health (Albany, NY)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity ... as it relates to payer interaction. Manager of Payor Contracting is...Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting… 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, ... third-party payers. **Responsibilities** **Job Duties:** + Review and interpret third-party payer contracts, fee schedules, and reimbursement terms. + Analyze … more
- Highmark Health (Albany, NY)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… 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 ... ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps… 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 ... ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps… more
- Kaleida Health (Buffalo, NY)
- …outlook required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation ... reimbursement methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited to: utilization… more
- Evolent (Albany, NY)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... organizations) . Passion for healthcare and subscribed to the vision of value-based care . Strong familiarity with risk-based contracting . Thrives in an… more