- Albany Medical College (Albany, NY)
- …payer relationships.* Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and ... AMHS to facilitate best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees and leads the day to… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Centene Corporation (New York, NY)
- …in conflict management or data reporting and evaluation. Experience working in managed care , utilization management, case management, or quality improvement ... license preferred. 4+ years of clinical nursing experience, preferably in a large primary care office or clinic setting working with Medicaid or the uninsured.… more
- Catholic Health Services (Rockville Centre, NY)
- …managed care organizations. + Negotiate and manage payer contracts (Medicare, Medicaid , managed care , bundled payments). + Use operational and ... Overview The VP of Post-Acute Care - Skilled Nursing Facilities is a senior executive...Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case-mix index (CMI). + Reduce bad debt and… more
- Humana (Albany, NY)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Stony Brook University (Stony Brook, NY)
- …all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for services. ... medical supplies and equipment. + Serves as an office liaison to outside nurses for patients on home telemonitoring....Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... is preferred in analytics development expertise, preferably in health care , or for a health provider, health plan or...Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements,… more
- Mount Sinai Health System (New York, NY)
- …as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and other community ... **Job Description** The Care Coordinator is responsible for coordinating care...Medicaid data to educate patients and form a care plan with specific health outcomes. The position is… more
- Cardinal Health (Albany, NY)
- …Medicare, Medicaid , and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) pharmacy ... accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- New York State Civil Service (Brooklyn, NY)
- …Care Coordination Organizations, Consumer Advisory Board (CAB) advocates, and the Medicaid Compliance Liaison .* Tracking System Creation: Develop a tickler ... Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary Grade 14 Bargaining Unit PS&T -… more
