- 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
- 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
- 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
- Molina Healthcare (Buffalo, 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
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... social determinants of health, and health equity principles. Case management and managed care experience is highly preferred. Remote position based in… more
- Elevance Health (Latham, NY)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II - ABA** Location: ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Care Manager II** is responsible for managing...experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... **Position Purpose:** Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on… more
- Mount Sinai Health System (New York, NY)
- …cycle, including pre-award budget development, post-award monitoring, program sub- contract management, and grant closeout procedures. Provides technical assistance ... guidance in the preparation, submission, processing and management of research grants, contract proposals, awards and all agreements for Research teams within the… more
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