- Molina Healthcare (Albany, NY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment ... issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (Albany, NY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to...as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or… more
- Mount Sinai Health System (New York, NY)
- …contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on:… more
- Healthfirst (NY)
- …of behavioral health with physical health and social determinant support services + Design and implement efficient and effective clinical programs, workflows, ... (LMSW) + 7 years of behavioral health experience in managed care and/or a clinical setting with at least...at least 2 years of that experience being in managed care + Progressive leadership experience in medical and… more
- JPMorgan Chase (New York, NY)
- …Kubeflow etc) **Preferred qualifications, capabilities, and skills** + Hands-on experience with AWS managed services such as EKS, ECS ECS2, ECS Fargate + ... following areas, with developing knowledge in the others.- High-throughput, low-latency micro service development using public cloud services . - High throughput… more
- Whitney Young Health Center (Albany, NY)
- …and critical thinking skills, self-management expertise along with outstanding customer service to promote and assist individuals to manage their health through ... of chronic health conditions to identify patient for care coordination services . + Collaborate with providers/clinical team members to identify target patient… more
- Compass Group, North America (Schenectady, NY)
- …high profile meetings with C suite + Knowledge of P&L accountability and contract- managed service experience is desirable + Proficient in menu development, cost ... + Experience with exposition cooking needed + Knowledge of P&L accountability and contract- managed service experience is desirable + ServSafe certified is a plus… more
- Lincoln Financial (Albany, NY)
- …responsibility. + Manages and monitors working relationships with third-party vendors and managed service providers + Assists with developing more complex ... providers. + Support strategic asset realignment across General Account portfolios on service provider managed accounting systems and across multiple custodians.… more
- AireSpring (New York, NY)
- …family owned and operated AireSpring is a leading Provider of Cloud Communications, Managed Connectivity and Managed Security which has earned its stellar ... reputation by taking service and support to the next level, delivering an...COMPANY OFFERS YOU: + Medical Benefits with optional supplemental services through AFLAC + Paid Time-Off Plan + Paid… more