- OLV Human Services (Lackawanna, NY)
- …healthcare administration, business, or related field. + Experience with NY Medicaid and managed care dental plans. + Familiarity with NYS Department of Health ... insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented within the Electronic Health Record (EHR) system.… more
- Centene Corporation (Bronx, NY)
- …sales/marketing experience, preferably with government products. required Health insurance or managed care experience preferred Specific language skills may be ... retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may… more
- Centene Corporation (Queens, NY)
- …contracts, related laws, regulations and executive orders. + Deep understanding of managed care models (HMO, PPO, Medicaid, Medicare Advantage, Duals, SNPs). ... + Familiarity with healthcare laws, reimbursement models, and value-based care initiatives. + Perform duties as senior liaison between product line, other business… more
- Humana (Albany, NY)
- …of experience consulting/supporting large scale, strategic initiatives. + Previous healthcare or managed care experience, preferably in the Medicaid space. + ... moderate to substantial. This position provides the opportunity to lead /manage large cross-functional enterprise implementations that impact our members, providers,… more
- Elevance Health (New York, NY)
- …interacting and assisting individuals throughout the NY State's health insurance programs; (Medicaid Managed Care , Child Health Plus, and the Essential Plan) is ... for providing education to potential members on the Affordable Care Act and the marketplace and facilitating new enrollments....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Buffalo, NY)
- …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQU** ... members help mentor other team members and take the lead on process and project improvement. These team members...+ Under the direction of the national and/or regional lead , the Medical Records Collector supports the annual HEDIS… more
- Interstate Waste Services, Inc. (Sloatsburg, NY)
- …+ Participateand lead Incident Review Team meetings as needed. + Assistin managed care of injuries. + **Risk Mitigation** + Identify potential hazards and ... in market level safety stand-downs and training, meetings as needed. + Lead safety training programs for drivers, equipment operators, and facility staff. +… more
- Grifols Shared Services North America, Inc (Manhattan, NY)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... field-based medical science liaison. + Experience developing and executing Key Opinion Leader territory plans, medical plans, and other field medical strategies. +… more
- Molina Healthcare (NY)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... Operations or equivalent combination of education and experience. + Strong leadership in a matrixed environment + Demonstrated adaptability and flexibility to a rapidly moving business environment. + Background analyzing technical performance and driving teams… more
- Elevance Health (Latham, NY)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more