- Centene Corporation (Brooklyn, NY)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Molina Healthcare (Syracuse, NY)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Molina Healthcare (Buffalo, NY)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Molina Healthcare (Rochester, NY)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Molina Healthcare (Buffalo, NY)
- …It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully ... in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and … more
- CVS Health (Albany, NY)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups....3+ years contracting for large facilities or provider groups. * Proven working knowledge of competitor strategies,… more
- Highmark Health (Albany, NY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Fortive Corporation (New York, NY)
- …all phases of the building lifecycle. A pioneer of Job Order Contracting , Gordian's solutions also include proprietary RSMeans data and Facility Intelligence ... data and software. Primary responsibility for Gordian Account Managers is to provide support, training, for products and services centered around Job Order … more
- City of New York (New York, NY)
- …solutions is carried out for all matters relating to NYC Procurement, Contracting , Invoicing and Payments within our procurement system (PASSPort) and are ... PASSPort. Working via our ticketing system, Service Desk staff aims to provide clear, accurate and timely information to stakeholders, coordinating responses across… more
- Fortive Corporation (New York, NY)
- …data and software. The primary responsibility for Gordian Account Managers is to provide support, and training, for products and services centered around Job Order ... Contracting (JOC) for clients in a specific geographic area...prepare and maintain schedules to accomplish procurement objectives, troubleshooting, provide software training to client and contractor staff. +… more