- Sumitomo Pharma (Albany, NY)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...+ Interact with internal departments (Internal Audit, Commercial Insights, Contracting , SOX Compliance, and Legal) to clarify policy compliance… more
- Albany Medical Center (Albany, NY)
- …and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction ... Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed for… more
- CVS Health (Albany, NY)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables in this role include: *… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- City of New York (New York, NY)
- …Health Systems seeks to hire a Healthcare Payment and Financing Innovation Manager . This position will be responsible for conducting payment, financing and ... related to Local Law 78 and its relationship to Medicaid , Medicaid Policy an Programming, and payment...demonstrated expertise in at least one of the following: Contracting , Invoicing, payment and financing experience at local, state,… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Molina Healthcare (Rochester, NY)
- …standards and requirements established by the Centers for Medicare and Medicaid . **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve provider… more
- Whitney Young Health Center (Albany, NY)
- …brings exceptions and potential solutions to the attention of CFO and responsible manager . Updates policies and procedures as necessary. + Oversees the payment of ... solutions. + Coordinates preparation of designated third party cost reports including Medicare, Medicaid and OASAS and assists in the preparation of the Uniform Data… more