- CVS Health (Albany, NY)
- …do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product within ... years Industry experience in mental or behavioral health, payer, commercial, and Medicare + Proven ability to interact with, influence and collaborate with business… 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 ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- Cardinal Health (Albany, NY)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC… more
- Humana (Albany, NY)
- …needs for Medicaid-specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and complexity. They ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- University of Rochester (Albany, NY)
- …but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State Department of ... quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated Credentialing/Commercial Payer Enrollment… more
- Callen-Lorde Community Health Center (New York, NY)
- MANAGER OF BILLING (CPC) Job Details Job Location Corporate/Administrative Office - Chelsea - New York, NY Secondary Job Location(s) Callen-Lorde Community Health ... lead, train, and mentor teams on complex processes. + Experience with Medicaid, Medicare , ACA plans, and private insurance. + Proficiency with EPIC EHR and Microsoft… more
- Heath System Services (Niagara Falls, NY)
- …passion for delivering exceptional customer experience!? We are seeking an Intake Manager who embodies our core values of Empathy, Passion, Integrity and Commitment, ... medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid, and commercial payer standards. + Act as a resource… more
- Living Resources (Albany, NY)
- Community Living Case Manager (QIDP)/Intake Coordinator Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12203) Job Type Full-time Description Living ... program and necessary admission/discharge requirements + Knowledge of Medicaid, Medicare , SNAP and Social Security benefits and applications/certifications for each… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing, coding, modeling, and… more
- MVP Health Care (Tarrytown, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the opportunity for you ... (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs),… more