- Molina Healthcare (Buffalo, NY)
- …strategic goals of the department and organization. + Develops and implements Provider Network and Contract strategies across all lines of business, identifying ... for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes data among multiple systems… more
- Elevance Health (Latham, NY)
- …is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary ... focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers....other key areas or serve on enterprise projects around network management. + May collaborate with sales team in… 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
- 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
- Humana (Albany, NY)
- …strategy and support model for the Veterans Administration (VA) Community Care Network (CCN) contract and responsible for designing, planning, and overseeing ... translates business needs into technical systems solutions. Integrates hardware, software and network interfaces to form a system. Works with senior executives to… more
- UHS (Binghamton, NY)
- …healthcare contracts that ensure quality care and strategic partnerships across our network . You'll analyze contract terms, assess financial impacts, and ... per hour, depending on experience Job Responsibilities: + Assist in developing contract models and perform financial analyses to compare current and proposed… 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