- Molina Healthcare (NY)
- …Description** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from regulatory...labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Responsible for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on ...+ Capitalize on opportunities to cross-sell Analytic Tools and Solutions to existing Internal Customers, market the value of… more
- Guidehouse (New York, NY)
- …Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The Managed Care practice assists hospitals, health systems, ... include client and project management, data and information analysis, solution implementation and generation of project results. As a...or via email at ###@guidehouse.com . All information you provide will be kept confidential and will be used… more
- Highmark Health (Buffalo, NY)
- …work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders ... to provide the most appropriate support for providers with gain/risk...individualized strategic plans to ensure significant cost savings for provider contract holders using innovative continuous improvement methodologies. This… more
- Huron Consulting Group (NY)
- …consultant** with a top consulting firm, specializing in delivering strategic solutions for healthcare provider organization clients. + **Proven leadership** ... the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create...impact immediately. Learn about how our culture and values provide you with the kind of environment that invites… more
- ATI Physical Therapy (New York, NY)
- **Overview** **Title:** Clinic Provider - RN **Location:** New York, NY **Status:** Full-time **Hours:** Monday-Friday 8a -5:30pm (8 hours shift flexible) Are you a ... only guide day-to-day operations and team performance but also provide hands-on clinical care aligned with your training and...a meaningful impact every day. **Why Join ATI Worksite Solutions ?** At ATI, you'll join a team at the… more
- Molina Healthcare (NY)
- …workflow optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management, and credentialing ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations and… more
- Palo Alto Networks (New York, NY)
- …great outcomes. **Your Career** You will lead the Palo Alto Networks Service Provider (SP) partner sales team across North America. This exceptional team works with ... for our joint customers. They work with partners to develop joint solutions , support opportunities and drive the adoption of learning paths and certifications.… more
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