- 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 ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more
- Centene Corporation (Queens, NY)
- …level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. + ... better patient outcomes, cost-efficiency, and quality care + Uses data analytics to track and monitor provider ...more years of managed care or medical group experience, provider relations, quality improvement, utilization management , or… more
- CVS Health (Albany, NY)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and… more
- Molina Healthcare (Rochester, NY)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... requirements of customers as it pertains to contracting and network management . **Job Duties** This role supports...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Molina Healthcare (NY)
- …ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing. **Essential Job Duties** * Receives ... and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates … more
- Humana (Albany, NY)
- …Office applications **Preferred Qualifications** + Bachelor's degree + Experience with New Network Management + Experience with QuickBase + Proficiency in ... experience in negotiating managed care contracts with physicians, hospitals and/or other provider contracts + 2+ years of network development and… more
- Highmark Health (Albany, NY)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... + Act as subject matter expert with recommendations and data supporting development of network and sales...staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models… more
- University of Rochester (Rochester, NY)
- …in training new MRI technologists and students. Performing all filming, archiving and PACS network data management for each patient scanned. Retrieves old ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- CVS Health (Albany, NY)
- …working knowledge of business systems, applications, and tools supporting network management , contracting, and provider data systems + Experience in ... related business environment with exposure to provider data , processes, etc. **Education** Bachelor's degree preferred / specialized training / relevant… more
- Capital One (New York, NY)
- Director, Product Management , DevX - Network Observability **Director, Product Management (PXDP60)** Product Management at Capital One is a booming, ... **About the Team** We are a passionate and entrepreneurial Product Management team embracing bold ideas, fueling innovation and enabling delightful experiences… more