- CDPHP (Albany, NY)
- …Coordinator negotiates single case agreements for authorized medical services with non-participating providers. Network Operations Coordinators manage contractual ... and/or negotiating additional contracts, as assigned Qualifications: + 3 years managed care experience with commercial, Medicare and Medicaid lines of business… more
- City of New York (New York, NY)
- …Community Centers, adult and youth literacy programs, youth employment programs, services for runaway and homeless youth, community safety programs, and community ... on a range of mayoral initiatives to improve City services and ensure greater opportunities for minority and immigrant...contracts; Federal, State, and private grants; and other budgets managed by the Bureau as needed and maintain monitoring… more
- Centene Corporation (New York, NY)
- …million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive ... provides first level clinical review for all outpatient and ancillary services requiring authorization. Utilizes decision-making and critical-thinking skills in the… more
- Ricoh Americas Corporation (NY)
- …through the strategic utilization of Ricoh hardware, aftermarket products, software, and services . With a strong emphasis on Digital Selling, the TSC influences and ... information seekers and customer-obsessed collaborators who aspire to deliver the services , solutions, and technologies that empower business success. We are looking… more
- JPMorgan Chase (New York, NY)
- …+ Coaches and mentors the branch team by providing training on products and services . + Works together with bankers, meets with their customers and introduces new ... clients to bankers for additional products and services . + Collaborates with your team to create an outstanding customer experience by utilizing centrally managed… more
- Option Care Health (Albany, NY)
- …Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 ... Software + Strong internal function collaboration skills (Sales, Operations, Managed Markets, Marketing, Finance, Legal and Compliance.) **Physical Demand… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility staff. MDS Director ... Reference Date (ARD). Captures the RUG score which reflects the care and services provided + Demonstrates an understanding of MDS requirements related to varied… more
- SHI (Albany, NY)
- …Senior Project Manager leads SHI's most complex device lifecycle projects within the Managed Workplace Services group, overseeing all phases from procurement to ... we're proud to be a $15 billion global provider of IT solutions and services .** **Over 17,000 organizations worldwide rely on SHI's concierge approach to help them… more
- The Wesley Community (Saratoga Springs, NY)
- …before submission. + Submit Medicaid applications to county Departments of Social Services (DSS) timely. + Maintain accurate electronic files of all Medicaid Pending ... in placement status. + Obtain and maintain all MLTC ( Managed Long Term Care) plan authorizations and extensions. +...For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring… more
- Evolent (Albany, NY)
- …management of prior authorization and financial scope within Evolent Specialty Services . Reporting to the Director, Clinical Informatics, this role is responsible ... including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and various prior authorization… more