- EmblemHealth (New York, NY)
- …required Experience working in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, ... or highly impactful reporting development experience for a health provider, plan or managed care organization required Working knowledge of health care … more
- Helio Health (Syracuse, NY)
- … care and services with external case managers, managed care operators, licensing, funding, and contracting agencies. Responsibilities Maintains and ... and lead our staff to deliver the highest quality care to our patients in our Willows Inpatient Rehab...experience relevant to the position and also take into account information provided by the hiring manager and program.… more
- Cardinal Health (Albany, NY)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... Ensures adherence to all federal, state, and local regulations for governing payer contracting , stays informed of the health care regulatory environment to… more
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- Molina Healthcare (Buffalo, NY)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- CVS Health (Albany, NY)
- …Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... to partially offset the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Pfizer (New York, NY)
- …understanding of managed markets, third-party data, and Payer and Pharma contracting . + Experience building and operating financial models in MS excel and web ... contract offers; utilize outputs to inform contract offers and payer specific contracting strategies + Utilize propriety and public pharmaceutical data sources to… more
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