• Provider Contracts Manager

    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
    Molina Healthcare (07/17/25)
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  • Provider Engagement Account Manager

    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
    Centene Corporation (06/07/25)
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  • Manager , Provider Engagement - VBP…

    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
    Centene Corporation (07/09/25)
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  • Advanced Practitioner Provider…

    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
    Mount Sinai Health System (07/23/25)
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  • Clinical Manager - Advanced Practice…

    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
    Highmark Health (07/29/25)
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  • Director, Appeals & Grievances (Medicare…

    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
    Molina Healthcare (07/18/25)
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  • Medicaid Provider Hospital Reimbursement…

    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
    Humana (07/29/25)
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  • Mental Health Provider

    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
    The Salvation Army (07/14/25)
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  • SETSS Provider /Middle School…

    Mott Haven Academy Charter School (Bronx, NY)
    …Education Program Manager . The purpose of this position is to provide individualized instruction and support to students with IEP mandated academic goals. This ... SETSS Provider /Middle School Interventionist Job Description: Hired by, reports...who are receiving academic interventions through MTSS. Responsibilities: + Provide direct instruction to students with disabilities, either in… more
    Mott Haven Academy Charter School (06/18/25)
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  • Operations and Provider Practice - Aladdin…

    BlackRock (New York, NY)
    …and education. We are seeking a candidate to work within the Operations and Provider Practice, part of the Aladdin Client Business, as a regional practice lead ... stakeholders (C-Suite) **Preferred Skills and Experience:** + Prior people manager /leadership experience + Project management experience + Prior experience with… more
    BlackRock (07/20/25)
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