- Molina Healthcare (Rochester, NY)
- …to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as an expert in handling ... 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)
- … network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented ... staff and new hires as necessary. + Generates and distributes Network Related Compliance/Regulatory/Accreditation reports. + Generates Provider Related reports… 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
- 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
- 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 (Syracuse, NY)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina'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...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Molina Healthcare (Yonkers, 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
- Humana (Albany, NY)
- …the dental industry + 4 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + 2 or ... caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers… 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
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