- Highmark Health (Albany, NY)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to… more
- Humana (Albany, NY)
- …performance improvement, physician engagement, informatics, network development, and contract/ payer relations. This design gives the Fellow the opportunity ... to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings.… more
- Kyndryl (Albany, NY)
- …+ Healthcare industry experience is a strong plus, especially in payer /provider operations and care management workflows. **Preferred Qualifications: ** + 15+ ... years' experience in contact center sales, consulting, services, or transformation initiatives. + Previous experience in leading healthcare-focused journey redesign from eligibility verification to care management. + Align contact center transformation with… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... professionalism, we're hired as strategic and creative partners by our biopharmaceutical clients to drive category/brand awareness and growth. Position Overview The Director of Enterprise Technology will lead the strategic direction, implementation, and… more
- Datavant (Albany, NY)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- CVS Health (Albany, NY)
- …+ 3 to 5 years Industry experience in mental or behavioral health, payer , commercial, and Medicare + Proven ability to interact with, influence and collaborate ... with business leaders and producing managers at all levels + PMP certification + Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity **Education** + Bachelor's degree or equivalent professional work… more
- Sumitomo Pharma (Albany, NY)
- …reimbursement and copay implications. + Knowledge and understanding of payer mix, reimbursement environment, and distribution influence in assigned territory. ... **Education and Experience** + Candidates will possess a BA or BS degree, preferably in life sciences or business administration. + 7+ years of validated commercial experience in the pharmaceutical, diagnostic or healthcare industry, preferably in specialty… more
- Trinity Health (Schenectady, NY)
- …regulatory and facility's corporate compliance standards + All clinical and payer required documentation is concise, pertinent, legible and in accordance with ... organizational requirements **What you will need:** + Graduate of an approved Physical Therapy program with a Bachelor of Science, Master's degree or Clinical Doctorate of physical therapy degree. + Current NYS Physical Therapy license and registration + 1… more
- Molina Healthcare (Yonkers, NY)
- …acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, ... Procurement, Project Management, or Account Management + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot tables, v-lookup and corporate email and collaboration solutions + Demonstrate strong written and verbal communication… more
- Evolent (Albany, NY)
- …key performance indicators + Partner with Evolent Strategic Account teams and payer clients to align priorities and deliver high-quality provider network engagement, ... performance reporting, and present to health plans clients + Maintain detailed records of practice interactions, progress on transformation, initiatives, and market trends + Represent the organization at regional forums/clinical symposiums, conferences, and… more