- Humana (Albany, NY)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... 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
- Molina Healthcare (Syracuse, NY)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Provider Compensation Analyst - Sr.Department: Provider CompensationLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - ... 4:30pmSUMMARYThe Provider Compensation Analyst - Sr. is a strategic partner...related to new acquisitions and reorganizations in collaboration with network development and service line operations partners. + Leads… more
- Evolent (Albany, NY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and… more
- WMCHealth (Hawthorne, NY)
- …department and organizational leadership in the development and growth through out the network + Coordination of reports to referring provider offices or ... compassion) that support patient satisfaction and principles of service excellence. + Network coverage based on provider and department needs + Performs… more
- Anthony Jordan Health Corp (Rochester, NY)
- ADVANCED PRACTICE PROVIDER FNP/PA-FAMILY MEDICINE ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * Family Medicine Apply Job Type ... NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving...Canandaigua, NY Jordan Health is now seeking anAdvance Practice Provider FNP/PA-Family Medicinewho, under the guidance of the Chief… more
- Guardian Life (New York, NY)
- …is seeking a resolute motivated individual to join our team as a Dental Network Pricing Consultant. This role will be responsible for leading a team of analysts ... evaluating and optimizing PPO and DHMO provider compensation as well as providing thought leadership in...as well as providing thought leadership in the Dental network development strategy. This role involves developing and implementing… more
- CVS Health (Albany, NY)
- …Promote collaboration with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage ... your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level… more
- ITT (NY)
- …ITT:** At ITT, we have a clear purpose as an organization - to provide our customers with cutting-edge solutions to help solve their most critical needs across ... chemical, energy, mining, and other industrial process markets and is a provider of plant optimization and efficiency solutions and aftermarket services and parts.… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides...May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational… more