- CenterWell (Albany, NY)
- …performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... **Use your skills to make an impact** **Required Qualifications** + Pharmacy Benefits Manager (PBM) experience + Experience in pharmacy contracting , pricing, or… more
- Elevance Health (Latham, NY)
- …remote work, promoting a dynamic and adaptable workplace. **Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company. + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- City of New York (New York, NY)
- …ADMINISTRATIVE STAFF ANALYST, ADMINISTRATIVE PROCUREMENT ANALYST, HEALTH SERVICES MANAGER or ADMINISTRATIVE MANAGER . Division/Program Summary Description: ... The Bureau of the Agency Chief Contracting Officer within the Division of Finance is primarily...implement annual M/WBE outreach plans, to include DOHMH sponsored network events. - Actively participate in networking events sponsored… more
- Molina Healthcare (Albany, NY)
- …with the Director, Provider Contracts, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * In… more
- CVS Health (Albany, NY)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... , medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via...regarding your assigned TPA(s). + Manage day to day provider operations, either direct or through network … more
- Centene Corporation (New York, NY)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Lumen (Albany, NY)
- …The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of network equipment and embedded or controlling software installed ... within the Lumen network infrastructure, as well as the associated deployment maintenance...associated deployment maintenance and repair services. The Lead Category Manager is responsible for developing and implementing procurement strategies… more
- Lumen (Albany, NY)
- …**The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... managed product offerings sold directly to Lumen end-customers. The Category Manager is responsible for developing and implementing procurement strategies that… more
- Pearl Interactive Network (Albany, NY)
- **Pearl Interactive Network is inviting skilled Technology Managers (TMs) to Join Our Talent Community to support future hybrid, remote, or onsite contact center ... operations.** The **Technology Manager ** **(TM)** is responsible for leading the planning, implementation, and management of contact center technologies to enhance… more
- Pearl Interactive Network (Albany, NY)
- **Pearl Interactive Network is actively seeking accomplished Contact Center Project and Program Managers (PMs) to Join Our Talent Community in preparation for future ... onsite, hybrid or remote operations.** As a **Project or Program Manager ** , you will take charge of project oversight and implementation, ensuring the seamless… more