- 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
- Centene Corporation (Getzville, NY)
- …diploma or equivalent. Associate's degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. ... day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor...inbound request to determine accuracy and route request to provider changes or other cross functional teams + Maintain… 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
- Humana (Albany, NY)
- …role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and Network Organization (PPNO). **The Sr. Provider ... our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical ... provider information on all claims and provider ...business and system requirements as it pertains to contracting, network management and credentialing. **Essential Job Duties** * Receives… more
- Aspen Dental (Albany, NY)
- …credentialing issues in a timely manner. + Research and resolve out of network claims issues by investigating provider participation status and effective dates ... a new opportunity to join our dedicated team as a Provider Enrollment Specialist. The Provider Enrollment Specialist plays a vital role within our Payor Strategy… 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
- Anthony Jordan Health Corp (Rochester, NY)
- ADVANCED PRACTICE PROVIDER ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * Urgent Care Apply Job Type Part-time Description The ... in northeast Rochester, NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving residents living in three… more
- Catholic Health Services (Centereach, NY)
- …Welcome to Catholic Health Physician Partners Ambulatory Cardiology in Centereach, NY . Our network of physicians have been a vital part of improving the health of ... - PA or NP We are seeking a skilled and compassionate Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our cardiology team on Long… more
- Highmark Health (Albany, NY)
- …marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes ... JOB SUMMARY MUST BE A US CITIZEN Looking for someone with Dental Provider Relations to service United Concordia Dental's (UCD's) clients by recruiting, training and… more
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