- Molina Healthcare (Buffalo, NY)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...**Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective… more
- Centene Corporation (Queens, NY)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... cost utilization. + Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for… more
- Huron Consulting Group (NY)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... for the world's leading healthcare organizations. Position Summary We are seeking a Manager to join our consulting team and manage the day-to-day work on project… more
- Centene Corporation (Queens, NY)
- …outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion ... New York. This role is critical in managing end-to-end provider engagement, contract modeling, and performance oversight for Medicare...Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will serve as a subject matter expert in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Advanced Practitioner Provider Manager - Tisch Cancer Institute-Mount Sinai Hospital- Full Time - Day** The Advanced Practice ... Provider Manager -Nursing is responsible for coordination, and...with appropriate specialty and site based physicians. The APP Manager -Nursing will provide operational leadership to advanced… 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
- Highmark Health (Albany, NY)
- …are delivering supportive and palliative care in the community and virtually. This leader will provide day to day support to the APPs as well as provide general ... Team Work + Oral and Written Communication + Understanding of Advance Practice Provider scope and limitations + Delivery of Virtual Healthcare Visits + Customer… more
- Molina Healthcare (Rochester, NY)
- …for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and ... * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and… more
- Humana (Albany, NY)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- The Salvation Army (Syracuse, NY)
- …application, references, resume, and not being able to speak directly to a hiring manager . Not today! We are holding Phone Career Assessments where you can speak ... & LICENSED CLINICIANS Responsibilities Children & Family Mental Health Provider The Family Services Department at The Salvation Army...Degree required, and One-Two years of experience. + Care Manager : FT, 40 hours, Hourly, min. of a BS… more