- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I Core… more
- Robert Half Office Team (New Hyde Park, NY)
- …Assist in gathering necessary documentation, summaries, and insurance information for managed care operations. * Serve as the liaison between the managed ... * Ability to work collaboratively with healthcare teams and act as a liaison for managed care operations. * Detail-oriented approach to updating records and… more
- Mount Sinai Health System (New York, NY)
- …as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and other community ... **Job Description** The Care Coordinator is responsible for coordinating care and guidance to primarily at-risk patients from diagnosis to survivorship. Uses… more
- Grifols Shared Services North America, Inc (New York, NY)
- …centers, centers of excellence, patient advocacy groups, and key accounts, including managed care , by providing complex medical and scientific information to ... more than 110 countries and regions. The Medical Science Liaison as a field-based expert in the science of...upon request to appropriate groups such as: key accounts, managed care organizations, integrated systems, national medical… more
- Centene Corporation (New York, NY)
- …in conflict management or data reporting and evaluation. Experience working in managed care , utilization management, case management, or quality improvement ... a fresh perspective on workplace flexibility. **Position Purpose:** Serve as a liaison for external groups and providers regarding clinical information from the… more
- Mount Sinai Health System (Greenlawn, NY)
- …assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures, ... colleagues + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and… more
- Humana (Albany, NY)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Stony Brook University (Stony Brook, NY)
- …clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for ... medical supplies and equipment. + Serves as an office liaison to outside nurses for patients on home telemonitoring....Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- Catholic Health Services (Rockville Centre, NY)
- …positioning to increase preferred provider status with ACOs, health systems, and managed care organizations. + Negotiate and manage payer contracts (Medicare, ... Medicaid, managed care , bundled payments). + Use operational...& Partnership Management + Serve as the primary post-acute liaison with health system C-suite executives and physician groups.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …+ Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency ... multidisciplinary care team to assist with the care of members enrolled in our Managed ...staff, members and providers as needed + Act as liaison and member advocate between the member/family, physician(s) and… more