- Molina Healthcare (Yonkers, NY)
- …negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- Molina Healthcare (NY)
- …Description** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more
- Rubrik (Albany, NY)
- …sales leadership and their sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and new prospects + Manage MSP ... specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's...opportunities + Co-sell and strategize with MSP partners + Provide Rubrik, Inc. management with feedback about the local… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or relevant field. * Two (2) years of experience directly performing provider contracting or reimbursement analysis required. * Demonstrated experience of ... provider types, regions and/or lines of business. Serves as provider network contracting and administration subject matter expert for assigned areas. *… more
- Deloitte (Rochester, NY)
- …consultation and contracting review of scope of work/SOW documents + Provide guidance on contracting and negotiation strategies and ensure cross-functional ... will be responsible for supporting Deloitte Consulting's GPS practice from a contracting and negotiation perspective, covering the full life cycle of an engagement.… 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
- Humana (Albany, NY)
- …market executives to develop functional strategies on matters of significance for provider contracting and performance management + Consults and leads the ... dynamic personality who works well in a team environment **Preferred Qualifications** + Provider contracting and/or provider relations experience + Working… more
- Humana (Albany, NY)
- …first** The Senior Network Optimization Professional oversees various efforts involving provider network processes and governance to support state specific network ... Professional drives network optimization and value through managing network contracting governance, process development, and data governance for Ohio Medicaid,… more
- Cardinal Health (Albany, NY)
- …Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal Health and ... regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is...with or for a PBM, PSAO, health plan, pharmacy provider , or other managed care entity on third party… more
- Generac Power Systems (Bohemia, NY)
- …and Contracts policies, procedures, processes, and other contracts-related subjects. + Provide regular reports regarding significant contracting matters and ... remedies in accordance with Corporate polices and sound business judgment. + Provide interpretation of contract terms and conditions to management and other… more