- City of New York (New York, NY)
- …child support enforcement, etc. The employees of Employment & Support Services Administration- Career Services help provide unique individual services ... eligible New Yorkers aimed towards the achievement of long-term self-sufficiency. The Provider -Client Services & Special Projects Units are the cornerstone of the… more
- Evolent (Albany, NY)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Centene Corporation (Queens, NY)
- …and cost utilization. + Conducts regular in-person visits with physicians to provide real-time support , discuss performance metrics, and identify opportunities ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Rochester Regional Health (Rochester, NY)
- …and provider compensation strategic decisions. + Engages in peer mentoring support within the provider compensation division. + Other duties as assigned. ... Job Title: Provider Compensation Analyst - Sr.Department: Provider CompensationLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am -… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have engagement plans to… more
- Humana (Albany, NY)
- …Humana Healthy Horizons is seeking a Network Operations Professional who maintains provider relations to support customer service activities through data ... integrity management and gathering of provider claims data needed for service operations. The Network...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- CVS Health (Albany, NY)
- …heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their ... as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. The… more
- Highmark Health (Buffalo, NY)
- … relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk share ... of quality and efficiency reports; When relevant, dissemination and support of gap closures for STARS and improved coding...the analytics team to ensure reports are accurate, and provide meaningful, actionable data. Provide assistance to… more
- Molina Healthcare (Yonkers, NY)
- …* Provides direct oversight, monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards ... and requirements related to non-contracted provider dispute/appeals processing. * Establishes member and non-contracted provider grievance/dispute and appeals… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …coverage in support of APC's. + Demonstrates scheduling flexibility to provide patient access across health center locations by + participating in weekend, ... If you are interested in provider opportunities with Hudson Headwaters Health Network, Please...CV to Jenny Leszyk at ###@hhhn.org HHHN Mission To provide the best health care, and access to that… more