- Molina Healthcare (Buffalo, NY)
- …in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that will encompass overall support ... and maintenance of provider data. We value curiosity, creativity, and independence as...occurs. **What You'll Be Doing** : + Maintenance of provider data within the claims processing system. + Managing… more
- CVS Health (Albany, NY)
- …each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their provider ... as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. The… more
- Kaleida Health (Buffalo, NY)
- ** Provider Recruiter** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** **: Full-Time** **Shift 1** **Job ... **The primary purpose of this position is to source and hire exceptional provider candidates to promote organizational growth. The Provider Recruiter will… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from regulatory agencies, participation status with payer programs, and other demographic… more
- Mount Sinai Health System (Astoria, NY)
- **Job Description** ** Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens** The Provider Enrollment Analyst (I) is responsible for completion of ... all provider insurance credentialing and re-credentialing functions, including meeting requirements for government, commercial, managed care, and other health plan… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides...a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Catholic Health Services (Rockville Centre, NY)
- …The Mercy Cancer Institute incorporates the latest technology in cancer care to provide an ideal and comfortable setting for the diagnosis and treatment of cancer. ... Job Details ADVANCED PRACTICE PROVIDER CANCER INSTITUTE SUMMARY: Our hospital-based Infusion Center is...consult offices. The Cancer Institute at Mercy Hospital will provide patients with comprehensive care focused around the patient… more
- Hudson Headwaters Health Network (Queensbury, NY)
- If you are interested in provider opportunities with Hudson Headwaters Health Network, Please also send your CV to Jenny Leszyk at ###@hhhn.org HHHN Mission To ... provide the best health care, and access to that...APC's. + All providers are expected to maintain authorized provider status with the Workers Compensation Board. + Consults… more