- 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 ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...needed to accommodate CMS logic. + Assisting with requirements development . + Creating and executing comprehensive test plans +… more
- Datavant (Albany, NY)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …assigned provider types, regions and/or lines of business. Serves as provider network contracting and administration subject matter expert for assigned ... and questions. Collects and interprets data and information to support provider network contracting and administration activities. Applies applicable contract… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …across MSK's network . **Role Overview:** As an **Outpatient Advanced Practice Provider ** , you will - + Provide high-quality, patient-centered care in ... by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …understanding of non-Actuarial functions such as Rating & Underwriting, Finance, Provider Contracting, Network Management, Product Development , Medical ... results and delivers feedback to support business objectives and analyst development . + Establishes individual annual performance goals for staff, guide staff… more
- MetLife (Oriskany, NY)
- …* Collaborate with internal partner areas such as Claims Operations, Legal, Compliance, Network Development , and SIU. * Refer cases to Legal, Litigation, or ... corrective actions and resolution decisions, including claim reprocessing and provider /member reimbursement when applicable. Communication & Documentation * Prepare… more
- UHS (Binghamton, NY)
- …of five years' combined experience in at least two IT solution development disciplines; including technical or infrastructure architecture, network management, ... and implement cloud solutions in collaboration with the Server, Network , and AD teams to meet the needs of...Familiarity with Power Apps and Power BI to support development teams and enhance collaboration within the organization. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …understanding of non-Actuarial functions such as Rating & Underwriting, Finance, Provider Contracting, Network Management, Product Development , Medical ... of our organization's diverse product portfolio. This role will oversee the development of actuarial assumptions and analysis of actuarial research to determine… more
- General Motors (Lockport, NY)
- …do not generate value. + Use critical path methodology and application in network development , analysis, and problem resolution. + Optimize sequence of ... time studies to establish shop metrics and tackle complex problems. + Provide technical support and assistance to manufacturing and maintenance team members,… more