- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work ... under the oversight of the Director of Managed Care Enrollment and join a team...completion of MCO facility credentialing/re-credentialing applications for MCO network contract offerings; monitors and follows-up as needed. Conduct data… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a… more
- Molina Healthcare (Buffalo, NY)
- …* 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare administration ... healthcare administration and/or Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is...across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who… more
- Stony Brook University (East Setauket, NY)
- …Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may ... Senior Revenue Cycle Specialist **Position Summary:** At Stony...staff regarding departmental and unit policy and procedure, including: Managed Care Contracts. + Monitors work queues… more
- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- Pfizer (New York, NY)
- …experience + Demonstrated ability to apply analytic tools to deliver insights to senior leadership + Deep understanding of managed markets, third-party data, and ... for creating financial modeling, presentations, and market analysis to support contract decisions and Internal governance process: + Run internal net cost… more
- Humana (Albany, NY)
- …or more years of progressive network management experience + Experienced in negotiating managed care contracts with physician groups and ancillary providers + ... data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- CVS Health (Albany, NY)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations,… more
- Staffing Solutions Organization (Albany, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist - Albany, NY or NYC**...education and training for health, behavioral health and social care workers throughout New York State. The program is… more
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