- Cardinal Health (Albany, NY)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Molina Healthcare (Buffalo, NY)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- CVS Health (New York, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… 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
- New York State Civil Service (Albany, NY)
- …supervision of health care financing, including any of the following: health care facility reimbursement, managed care capitation models, health care ... NY HELP Yes Agency Health, Department of Title Health Care Finance Program Manager 1 (NY HELPS)...Knowledge of NYS public health insurance programs including Medicaid Managed Care and Managed Long… 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 collaborates cooperatively with the patient and members of the… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Ambulatory Care Manager Location: Wilson Multicultural Medical Campus - 1425 Portland Avenue Building 1 (supporting practices of the ambulatory ... Monday-Friday 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve...appropriate; * Conduct pre-visit planning and post-visit follow-up for care managed patients; * Provide feedback to… more
- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... to partially offset the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage… more
- FlexStaff (Amityville, NY)
- …or elderly populations is required. - Experience in a PACE Program or Managed Long-Term Care (MLTC) is preferred. - Excellent organizational, communication, and ... Number** 163702 FlexStaff is seeking a highly skilled and experienced Regional Home Care Field Supervisor for our client to oversee clinical services in our… more
- Catholic Health Services (Melville, NY)
- …with the Catholic Health Physician Advisor when appropriate. Reviews results from managed care payors and/or regulatory agencies determinations for further ... clinical information Acts as a resource for MCC/CM regarding regulatory or managed care requirements or regulations Meets department standards Attends meetings… more