- Total Senior Care (Olean, NY)
- …license and use of automobile during working hours. Healthcare experience in a managed care organization, preferred. Signature acknowledges review and receipt of ... and appropriate by the Executive Program Officer, Associate Program Director, and/or Accounting Manager . Total Senior Care , Inc. reserves the right to add,… more
- Cardinal Health (Albany, NY)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Humana (Albany, NY)
- …practice or other patient care . + Minimum of 1 year of managed care experience. The Care Manager , Telephonic Behavioral Health 2 (Autism Care ... care planning for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus on Retirees) serves as… more
- Northwell Health (New Hyde Park, NY)
- …pharmacy experience post-licensure, with a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager , or health plans ... to support P&T Committee decisions and ensure cost-effective, high-quality pharmaceutical care for plan members. **Job Responsibility** + Develops and monitors the… more
- Cardinal Health (Albany, NY)
- **Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is ... responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships),… more
- Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Molina Healthcare (Rochester, NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Guthrie (Binghamton, NY)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts . c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Care Manager - Registered NurseDepartment: Rochester Regional Hospital Location: Rochester Regional Hospital Hours Per Week: 40Schedule: M-F (8:00 AM- ... every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager , your excellent interpersonal, leadership and collaboration skills ensure… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . The Care Manager will...New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience.… more
