• Manager , Provider Relations

    Centene Corporation (New York, NY)
    …policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, ... **Position Purpose:** This position will oversee approximately 10 individual contributors ( Provider Engagement Account Managers - PEAM). This role has overall… more
    Centene Corporation (01/06/26)
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  • Provider Contracts Manager

    Molina Healthcare (Buffalo, NY)
    …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
    Molina Healthcare (12/04/25)
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  • Advanced Practice Provider Manager…

    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 (10/22/25)
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  • Senior Manager , National Specialty Value…

    CVS Health (NY)
    …Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with ... key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and implements internal and external… more
    CVS Health (01/17/26)
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  • Program Manager ( Provider Network)

    Molina Healthcare (Buffalo, NY)
    …experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. ... staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to… more
    Molina Healthcare (11/13/25)
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  • Senior Program Manager ( Provider…

    Molina Healthcare (Albany, NY)
    …requirements. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business ... requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery. **JOB… more
    Molina Healthcare (12/26/25)
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  • Strategy & Operations Lead - Provider…

    Humana (Albany, NY)
    …first** We are looking for a dynamic Strategy & Operations Lead - Provider Practice Management to develop clinical solutions for our members and providers, with ... strategy to execution. The Strategy & Operations Lead - Provider Practice Management role is a critical member of...Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare… more
    Humana (01/10/26)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
    Humana (01/07/26)
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  • Senior Specialist, Provider Contracts HP

    Molina Healthcare (Rochester, NY)
    **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to, data analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs. Supports… more
    Molina Healthcare (11/14/25)
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  • Market VP, Provider Contracting

    CenterWell (Albany, NY)
    …help us put health first** The Associate Vice President of Home Health Provider Contracting will lead a focused team responsible for negotiating and managing ... put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (01/16/26)
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