- Humana (Albany, NY)
- …strategies to align clinical programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development , contract negotiations, ... improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP… more
- Fallon Health (Buffalo, NY)
- …to the development and implementation of processes and workflows, network development , contract management, claims, billing, and authorization assistance. ... may require intermittent travel to local contracted partners to provide support/guidance on various operational topics. $95,000 **Responsibilities** **Primary Job… more
- City of New York (New York, NY)
- …IT Security policy guidance; As per requirement, offers support to application development , network , server, database and storage teams regarding new ... the Agency's information systems. Promptly respond to all security incidents and provide thorough post-event analyses. Make things more secure by protecting system… more
- Amazon (New York, NY)
- …as a Technical Product Manager experience - 3+ years of technical (software development , network development , IT, other related) experience - Experience ... superior security outcomes for our customers. Our mission is to provide world-class incident response capabilities and build innovative security automation that… more
- Stony Brook University (Commack, NY)
- …Team, you will be responsible for coordinating and facilitating managed care provider and facility enrollment and network participation activities on behalf ... Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook...representing Stony Brook Medicine * and its Clinical Integrated Network . As a member of the Managed Care Enrollment… more
- MVP Health Care (Schenectady, NY)
- …please contact our Talent team at [email protected] . **Other details** + Job Family Network Management & Development + Pay Type Hourly + Min Hiring Rate $20.00 ... experience preferred. + One year experience in a claims processing, health care/ provide office setting or related position required. + Proven ability to use… more
- Molina Healthcare (Syracuse, 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
- SHI (Albany, NY)
- …effective incident management. + Design and validate technical solutions, supporting network and infrastructure development . + Extensive operational experience ... every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's… more
- Humana (Albany, NY)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer… 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 ... expansion and strategic targets. * Collaborate cross-functionally to manage provider compensation and pricing development activities, submission of contractual… more
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