- Highmark Health (Albany, NY)
- …assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial ... development of network and sales strategy and support of leasing contract negotiation. Develop and maintain leasing revenue targets. Update network lease… more
- Eliassen Group (Albany, NY)
- **Principal Cloud Network Engineer** **Anywhere** **Type:** Contract -to-Hire **Category:** Architecture **Industry:** Government **Workplace Type:** Remote ... engineering services and professional services. Pay Rate: ($85-$90/hr. W2) _This is a contract -to-hire opportunity. Applicants must be willing and able to work on a… more
- Molina Healthcare (Buffalo, NY)
- …positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... network and implement strategic plans with the goal of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate… more
- CDPHP (Albany, NY)
- …proficiency in Word, Excel, and PowerPoint + Understanding of legal and regulatory contract compliance and network adequacy requirements + Strong planning and ... values and invites you to be a part of that experience. The Network Optimization Coordinator completes all NYS, federal and regulatory HNS filings, analyzes… more
- Stony Brook University (Commack, NY)
- …with the completion of MCO facility credentialing/re-credentialing applications for MCO network contract offerings; monitors and follows-up as needed. Conduct ... representing Stony Brook Medicine * and its Clinical Integrated Network . As a member of the Managed Care Enrollment...and facilitating managed care provider and facility enrollment and network participation activities on behalf of SBM. _ *… more
- Molina Healthcare (Buffalo, NY)
- …**Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project management ... live in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network… more
- CVS Health (Albany, NY)
- …with the design, development, management, and or implementation of strategic network configurations and integration activities. * Manage contract performance ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will...behavioral health groups and facility providers. You will manage contract performance and support the development and implementation of… more
- Molina Healthcare (NY)
- …**Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project management ... **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for ... Network Provider Relations jobs are responsible for network development, network adequacy and provider training… more
- WellLife Network (Lake Success, NY)
- Jr. Contract Accountant - FIN035 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Position Type Full-Time Education Level ... Shift Day Job Category Accounting Job Description About WellLife Network :WellLife Network is a leading health and...and realize their fullest potential. Position Summary: The Jr. Contract & Grants Accountant will be responsible for preparing… more
- Humana (Albany, NY)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract /payer relations. This design ... Fellows report directly to Joel Port, SVP, Business and Network Development. **Sample projects:** + Analyzes quality metrics linked...+ Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health equity… more