- The Cigna Group (New York, NY)
- …and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral member of...and management of the day to day contracting and network management activities for a local given territory. **DUTIES… more
- Molina Healthcare (Cheektowaga, NY)
- …live in Erie County, NY _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- The Cigna Group (New York, NY)
- …Will be required to go into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting ... This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process of contracting and… more
- CVS Health (Albany, NY)
- …Data Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working ... Provider Operations organization provides foundational operational / enabling support for provider partners and the Network teams that directly interact with… more
- Centene Corporation (Queens, NY)
- …Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with ... level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. + Conducts… more
- CVS Health (Albany, NY)
- …each and every day. Implements 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… more
- Datavant (New York, NY)
- …industry events, trade shows, and conferences to build brand awareness and promote provider -focused solutions. + Build a network of key stakeholders and leverage ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...bold vision for healthcare. The Vice President of Growth, Provider GTM will lead growth initiatives for Datavant's … more
- 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...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Molina Healthcare (NY)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... Description** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- 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 engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more