- CVS Health (Albany, NY)
- …in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct ... Promote collaboration with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage… more
- Molina Healthcare (NY)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract, network development and management , or… more
- Molina Healthcare (Buffalo, NY)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract, network development and management , or… more
- TEKsystems (New York, NY)
- …a skilled Network Engineer to oversee the planning, execution, and management of IT infrastructure for events. This role involves coordinating with vendors, ... events. *Configure and manage DHCP servers and Wi-Fi routers to ensure reliable network connectivity. * Provide field support for IT setups, including hardware… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… 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
- 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 ... marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes… more
- Centene Corporation (Queens, NY)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations.… more
- Evolent (Albany, NY)
- …Strategic Account teams and payer clients to align priorities and deliver high- quality provider network engagement, performance reporting, and present ... performance within your territory. You will design and execute strategies that elevate provider performance, enhance care quality , and drive improved outcomes in… more
- Pearl Interactive Network (Albany, NY)
- …provide feedback and collaborate with cross-functional teams. + Knowledge of quality management systems and best practices for improving operational ... Interactive Network ** is seeking a detail-oriented and process-driven ** Quality Assurance Analyst** to help monitor, evaluate, and enhance performance across… more