- Sharecare (Albany, NY)
- …eligible care management program. The Outreach Enrollment Specialist supports the implementation and delivery of Sharecare's VBCM program by providing high quality ... telephonic/digital enrollment with members in a virtual call center environment. The VBCM program is based on patient centered model to help improve a member's total well-being and do so in an appropriate, efficient, and cost-effective manner The position… more
- Molina Healthcare (Syracuse, NY)
- …company's strategy to adopt value-based payment models; may oversee the implementation and management of value-based arrangements * Recruits and ensures provider ... network includes an appropriate mix of provider specialties to meet the needs and growth of membership * Collaborates with operations to monitor and ensure service issues are resolved, including escalated claims payments/disputes, provider demographics,… more
- Mount Sinai Health System (New York, NY)
- …with other applications Non-Bargaining Unit, 221 - DTP HSO Oracle Implementation - MSH, Mount Sinai Hospital **Responsibilities** 1. Ensure technical design ... supports objectives and measures appropriately tying back to concept objectives supporting business goals 2. Lead the technical design process, the skillful application of experience, research and due diligence to the planning and execution of development and… more
- Molina Healthcare (Albany, NY)
- …Value-Based Care is a strategic leadership role responsible for the development, implementation , and evolution of value-based care (VBC) programs across all lines of ... business-Medicaid, Medicare, and Marketplace. This role is critical in driving clinical and financial performance by aligning provider incentives with quality outcomes, health equity, and cost-effective care. The Director will serve as the enterprise lead for… more
- Ryder System (Albany, NY)
- …team. Support technical review presentations and design validation meetings + Implementation follow-up, which requires engineer to validate and modify deployed ... process to ensure that it matches plan + Develop and improve engineering tools and methodologies to ensure industry best practices + Support consulting projects that involve understanding customers' pain-points developing and presenting solutions **Additional… more
- Cognizant (Albany, NY)
- …This position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials. Highlights: + Demonstrate ... knowledge and expertise in state/federal billing guidelines, reimbursement methodologies, and payer policies. + Examine denied and underpaid claims to determine the reason for discrepancies. + Communicate directly with payers to follow up on outstanding… more
- Palo Alto Networks (New York, NY)
- …Empire + Knowledge of application, database, and web server design and implementation + Knowledge of network vulnerability assessments, web and cloud application ... security testing, network penetration testing, red teaming, security operations, or 'hunt' + Knowledge of open security testing standards and projects, including OWASP & MITRE ATT&CK + Ability to read and use the results of mobile code, malicious code, and… more
- Molina Healthcare (Albany, NY)
- …stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and ... operational requirements. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. +… more
- IQVIA (New York, NY)
- …plans. + Strategic Leadership: Ability to lead programmatic strategy development and implementation , acting as the go-to resource for internal teams and external ... partners. + Healthcare Industry Knowledge: Prior experience working with healthcare clients or within regulated industries is strongly preferred. + Cross-Functional Collaboration: Skilled at engaging with trading teams and navigating platforms to align… more
- aptihealth (NY)
- …impact the lives of millions. If you have a passion for innovation, implementation , and result-driven patient care - join our team! Requirements + Licensed Clinical ... Psychologist in New York State (PsyD, PhD) + 3+ years' experience in diagnostic assessment and formulation + 3+ years' experience in providing individual therapy + Strong interpersonal and communication skills with a compassionate and patient-centered… more
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