• Manager , Credentialing

    University of Rochester (Albany, NY)
    … Manager , coordinates the functions related to Delegated Credentialing/Commercial Payer Enrollment Contracts with contracted commercial payers. Represents ... upon completion, within required timelines, and in accordance with the specific contracts . Sets up internal or external assigned health care organizations with NPDB… more
    University of Rochester (08/25/25)
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  • Sup, Rev Cycle Mgmt, Hospital

    University of Rochester (Rochester, NY)
    …support and direction to the team. + Trains staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure ... account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures… more
    University of Rochester (09/19/25)
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  • Third Party Contracting Analytics Manager

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …third-party payers. **Responsibilities** **Job Duties:** + Review and interpret third-party payer contracts , fee schedules, and reimbursement terms. + Analyze ... + Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve disputes… more
    KPH Healthcare Services, Inc. (08/01/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the medical… more
    Guthrie (08/27/25)
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  • Associate Manager , Pricing and Contracting…

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    … contract strategy development, including extensive analysis of competitive payer and provider contracting scenarios. Assisting in the evaluation of innovative ... The Associate Manager , Pricing and Contracting Analytics (Ophthalmology) will be...(Ophthalmology) will be the primary analytical support for the Contract Strategy Team, responsible for managing robust deal analytics… more
    Regeneron Pharmaceuticals (09/13/25)
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  • Patient Access - Manager

    Rochester Regional Health (Rochester, NY)
    Job Title: Manager , Patient AccessDepartment: Patient Access Location: Massena Hospital Schedule: Monday - Friday (Variable hours) SUMMARY:Patient Access manager ... addressing the needs of our patients and team members.The Patient Access manager will work collaboratively with hospital leaders, administration, and revenue cycle… more
    Rochester Regional Health (09/30/25)
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  • Registered Nurse Case Manager II - Home…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and… more
    Rochester Regional Health (09/23/25)
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  • RN Case Manager - Case Management - Full…

    Guthrie (Corning, NY)
    …Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's hospitalization ... focal point for communication for healthcare team members, patient, provider, and payer . b) Maintains accountability for coordination of care processes for the… more
    Guthrie (09/23/25)
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  • Patient Accounts Receivable Billings…

    Charles Evans Center (Bethpage, NY)
    …Medicaid, Medicare, and commercial plans + Assist with review and negotiation of payer contracts + Maximize coding accuracy and billing under FQHC regulations ... Patient Accounts Receivable Billing Manager Schedule: Full-Time Monday-Friday Salary: $100,000-$110,000/year Location: Bethpage, NY (Hybrid Schedule) The Charles… more
    Charles Evans Center (08/23/25)
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  • Registered Nurse Case Manager (RN Case…

    Northwell Health (Staten Island, NY)
    **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient ... clinical course + Ensures compliance with current state, federal, and third party payer regulations + Documents the case management process in the medical record;… more
    Northwell Health (09/17/25)
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