- Elevance Health (Latham, NY)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... network through contract negotiations (language and rates), relationship development , and servicing. Primary focus of this role is contracting and negotiating… more
- Centene Corporation (New York, NY)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... and enroll prospects based on the customer's needs + Provide a positive customer experience with excellent customer satisfaction...that we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are… more
- Centers Plan for Healthy Living (Bronx, NY)
- …campaign, new designs or benefit changes. + Works in a concerted manner with Provider Relations / Network Development and communicates to them any providers ... that we should attempt to recruit. + Ensures Provider Relations/ Network Development Representatives are abreast on any outstanding issues relative to any of… more
- The Cigna Group (New York, NY)
- …Compliance, Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps ... identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for the … more
- The Cigna Group (New York, NY)
- …for greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction ... TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral member of...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- Centene Corporation (Queens, NY)
- …of the highest level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance ... Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with… more
- Molina Healthcare (Rochester, NY)
- …usable information by tell the story through data visualization working with clinical, provider network and other personnel to bring supplemental context and ... knowledge of business functions and impact on financials (underwriting, sales, product development , network management.) To all current Molina employees: If you… more
- Seton Education Partners (Bronx, NY)
- …areas for improvement in compliance systems and contributing to the continuous development of network -wide special education practices + Other duties as ... and Billing Analyst for the Brilla Public Charter Schools Network . This position reports directly to the Elementary School...Catholic schools in America and strengthen the education they provide . The challenges are significant, to be sure, but… more
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