- WMCHealth (Valhalla, NY)
- …Job Details: Job Summary: The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the ... managed care payers. Responsibilities + In coordination with the Senior Director of Managed Care , will escalate to the managed… more
- WMCHealth (Valhalla, NY)
- …in resolving these problems under the technical direction of Information Technology staff and Senior Director - Managed Care . + Writes and maintains ... other related work as required. Responsibilities: + Responsible for maintaining managed care contracts in contract management system including reimbursement… more
- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- Stony Brook University (Commack, NY)
- … Care Provider Enrollment Specialist, you will work under the oversight of the Director of Managed Care Enrollment and join a team of professionals ... Managed Care Provider Enrollment Specialist **Position...enrolled within ninety (60) days of roster submission. Inform Director of Enrollment of MCOs non-compliance. A provider enrollment… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Director , Patient Financial Services (Backend) Corporate East 42nd Street-Full-Time Days** The Senior Director Patient ... and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice...Organizes routine meetings with health system business leaders and managed care to review payer issues and… more
- Compass Group, North America (Manhattan, NY)
- …choice for hospitality professionals. Everything we do means more when it's served with care . The exceptional care and culinary artistry of our team members is ... **Oversee Financial Operations** : Manage financial performance across multiple senior living communities, ensuring accuracy, compliance, and operational efficiency.… more
- Molina Healthcare (Yonkers, NY)
- …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
- Centene Corporation (New York, NY)
- …assigning work and managing performance of staff. Previous experience within a managed care organization and with Medicaid programs is preferred. Experience ... goals and policies to improve quality and cost-effectiveness of care and service for members. + Provide medical expertise...in order to improve the quality and cost of care . + Interface with physicians and other providers in… more
- Comunilife (New York, NY)
- …and meet performance milestones. + Lead cross-sector collaboration with CBOs, managed care organizations (MCOs), government entities, and technology partners. ... Director of Social Care Network (SCN)...leadership, governance committees, and external partners. + Collaborate with senior leadership to guide strategic planning, innovation, and sustainability… more
- Catholic Health Services (Melville, NY)
- …levels to support complex care management needs. Manages relationships with Managed Care payors and regulatory bodies as needed. Supports system-wide efforts ... or system-level oversight. Knowledge of hospital operations, population health, and managed care practices. SKILLS Strong leadership and communication skills… more