- The Cigna Group (New York, NY)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- Molina Healthcare (Albany, NY)
- …service area.). **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Buffalo, NY)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Rochester, NY)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- FlexStaff (Lake Success, NY)
- …Number** 172198 13 week contract . Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, ... outcome identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and… more
- New York State Civil Service (Albany, NY)
- …for retirement.- Health Insurance: Several health insurance options at an affordable cost that provide full coverage without mandatory deductibles.- Time Off: ... NY HELP No Agency SUNY System Administration Title Contract Manager (2 Positions) Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining… more
- City of New York (New York, NY)
- …justice services and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care vouchers. ACS child ... entering the New York City's juvenile justice system, (b) provide therapeutic treatment and services to youth in our...therapeutic treatment and services to youth in our custodial care , and (c) help juveniles access the tools they… more
- The Salvation Army (Buffalo, NY)
- …contributions begin after 1 year of continuous employment) + Comprehensive Health Care Coverage with low cost employee premiums, co-pays, and deductibles ... Salvation Army, Buffalo Area Services, located in Buffalo, NY, seeks a Social Care Network Navigator to provide navigation, screening and referral services to… more
- Molina Healthcare (Yonkers, NY)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . This position will ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care ...and assistance to member to address concerns. * May provide consultation, resources and recommendations to peers as needed.… more
- Molina Healthcare (Albany, NY)
- …to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . The Care ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care...and assistance to member to address concerns. * May provide consultation, resources and recommendations to peers as needed.… more