- Evolent (Albany, NY)
- …regulatoryexpertisein Medicare, Medicaid, and Commercial + Experience in health plan operations and/or managed care highly desirable + 7+ years managing teams to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Centene Corporation (Queens, NY)
- …Administration (MHA) or Business Administration (MBA).:** Five or more years of managed care or medical group experience, provider relations, quality ... providers to ensure delivery of the highest level of care to our members. Participate in the development of...Joint Operating Committee meetings (JOC) + Acts as a lead for the external representatives + Coaches and trains… more
- Molina Healthcare (Rochester, NY)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- Callen-Lorde Community Health Center (New York, NY)
- …coaching, mentoring, and leading/building a team is required. + Knowledge of Medicaid/ Managed Care , Medicare, HIPAA, ADA compliance, and state health ... Shift Day Job Category Management Description About Us Callen-Lorde is the global leader in LGBTQ+ healthcare. Since the days of Stonewall, we have been transforming… 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 ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...& Enablement to join the growth team as a leader . Role Overview: The VP, Product Marketing & Enablement… more
- Trinity Health (Latham, NY)
- …communication skills are required. + Knowledge of working with community agencies and managed care representatives is desired. + Experience working with a ... Latham, an affiliate of St. Peter's Health Partners, we care for more people in more places. **Position Highlights:**...more people in more places. **Position Highlights:** + **Recognized leader :** Magnet Hospital in the Capital Region + **Quality… more
- Help at Home (Brooklyn, NY)
- …ensures compliance with New York State Department of Health (DOH) regulations, Managed Long-Term Care (MLTC) program requirements, and Federal guidelines. The ... Home is the leading national provider of in-home personal care services, where our mission is to enable individuals...good fit for you. **_Job Summary:_** The Clinical Operations Leader is responsible for the strategic oversight and clinical… more
- Molina Healthcare (Yonkers, NY)
- …years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care environment, or ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Guthrie (Binghamton, NY)
- …following areas, in collaboration with other subject matter leaders: Reimbursement, Managed Care Contract Negotiation, Hospital Financial Accounting, Hospital ... leadership experience required, with a minimum of 5 years as a Finance leader in a healthcare setting. Must possess ability to collaborate with administrators,… more
- Molina Healthcare (Queens, NY)
- …worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, New York, MCO, Managed Care , ACA, FQHC, Behavioral Health, CHW, Community Health ... a "subject matter expert" (SME) by community and influencers on the health care delivery system and wellness topics. + Delivers presentations, attends meetings and… more