- CVS Health (Albany, NY)
- …every day. **Position Summary** The Negotiator Analyst is responsible for negotiating out-of- network (OON) medical claims valued at $10,000 and above. This role ... + Work up and organize daily cases + Make outbound calls, develop provider contacts, and understand production metrics **Required Qualifications** + 3-5 years of… more
- Guthrie (Ithaca, NY)
- …to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Education, License & Cert: ... teams; making schedule adjustments according to departmental protocol and provider preferences. 4. Provides patient education, explains diagnostic testing and… more
- WMCHealth (Valhalla, NY)
- Financial Counselor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health Union: ... issues, financial /insurance forms/applications and arrangements. + Notifies case management , social services and admission staff of case screening determinations… more
- WMCHealth (Valhalla, NY)
- …to advancing oncology research and transforming patient outcomes. As an Advanced Practice Provider in our Oncology Research Program, you'll be at the forefront of ... values innovation Role Highlights: + Lead patient screening, enrollment, and management for oncology clinical trials + Ensure compliance with protocols, regulatory… more
- EMCOR Group (New York, NY)
- …open-protocol solutions, and customized service, we help clients improve building management for greater efficiency, comfort, and security. **Job Summary** Control ... with engineering documents and project specifications. + Design, integrate and support network migration for Internet / Ethernet / BACnet / Modbus platforms. +… more
- Project Renewal, Inc. (New York, NY)
- …stabilization, and maintenance treatment procedures under the supervision of the prescribing provider + Assisting members of the health care team in the formulation ... and implementation of the plan of care + Assisting the prescribing provider in making referrals to community providers for counseling or higher levels of care when… more
- WMCHealth (Hawthorne, NY)
- Coordinator, Development Operations Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Development ... Summary: The Coordinator, Development Operations is responsible for all WMC Network gift processing, acknowledgments and gift receipting, invoicing and pledge… more
- Fresenius Medical Center (New York, NY)
- …revenue. Identifies trends, variances, discrepancies, and issues and consults with management and executives to determine appropriate plan of action. Supports ... for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all related data collections and… more
- Molina Healthcare (Buffalo, NY)
- …quality scores. + Offers a positive leadership role in key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources ... and maximizing operational efficiencies. + Engages with the provider community via the networks teams to identify tangible...monitoring + Oversees and directs the rendering of medical management decisions at all levels of the health plan… more
- Bassett Healthcare (Cooperstown, NY)
- …hiring and retention of personnel, performance improvement activities, and participation on management team and other committees as assigned. The manager has a ... unit specific competency and annual health assessment. + Human Resource Management + Assumes primary responsibility for hiring staff and planning/implementing… more