- Catholic Health Services (Melville, NY)
- …insurance eligibility and pre- certification systems. + Must have expertise in insurance, managed care and federal/ state coverage. + Must be customer focused ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Healthfirst (NY)
- …+ **Work experience within the healthcare industry** + **Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus (FHP), ... a healthcare environment.** + **Healthfirst product knowledge of Complete Care , Senior Health Partners (SHP) or managed ...Complete Care , Senior Health Partners (SHP) or managed long-term care .** + **Prior experience engaging… more
- City of New York (New York, NY)
- …select vocational goals and receive support. Other HASA services include home care and homemaking services, mental health and substance use screening and treatment ... (1) Principal Administrative Associate III to function as a Housing Team Coordinator , who will: Provide oversight, monitoring and screening of perspective placements… more
- Molina Healthcare (Albany, NY)
- …functionality, as well as Microsoft. + Role specific industry experience in Long-Term (LT) or Managed Long-Term Plan (MLTCP). + Experienced in one or more of the ... toward identification of qualified, eligible prospects related to both long-term care needs and Medicaid coverage for enrollment. Assist our current members… more
- Highmark Health (Albany, NY)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... reviewer in monitoring and ensuring adherence to the health plan 's state and federal multiple drug benefit design offerings....to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and… more
- Centene Corporation (Getzville, NY)
- …3+ years of provider data or network administration experience, preferably in managed care . Proficient in Microsoft Access and Excel applications. Experience ... submissions of urgent requests + Coordinate provider data between the health plan database and various internal databases + Participate in reconciliation and… more
- University of Rochester (Rochester, NY)
- …Coordinates and participates in meetings associated with the various Advancement units managed by the AVP. + Prepares agendas, meeting materials, and maintains ... Required + Exceptional attention to detail and ability to plan , prioritize, and track details of multi-stage projects and...looking for a career in higher education or health care , the University of Rochester may offer the perfect… more
- Catholic Health Services (Rockville Centre, NY)
- …therapy regimens as noted previously. + Collaborate with unit staff, including nursing, managed care coordinators, medical staff and pharmacy staff to facilitate ... moment in between - we're dedicated to providing better care for our communities. Every patient. Every moment. That's...research mentor for students + Serve as Residency program coordinator for PGY-1 Pharmacy Residency program. + Oversee Residency… more
- Outreach Development Corporation (Ridgewood, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... Conduct toxicology testing as needed. . Oversee and/or coordinates care with managed care organizations...of work. . Address program issues with the Program Coordinator , which pertain to strategic objectives, annual plan… more
- Outreach Development Corporation (Richmond Hill, NY)
- …relationships with referents and other collateral contacts (ie, Probation, Parole, CPS, managed care , EAP's, courts, etc.) through timely written, phone, ... Conduct toxicology testing as needed. + Oversee and/or coordinates care with managed care organizations...of work. + Address program issues with the Program Coordinator , which pertain to strategic objectives, annual plan… more