- 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
- 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
- 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
- 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
- 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