- Mohawk Valley Health System (Utica, NY)
- …effective and efficient utilization of resources. The Physician Advisor guides the team to improve clinical and financial outcomes with documentation and clinical ... the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs...medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act… more
- Centene Corporation (Queens, NY)
- …the health of our communities one person at a time. As an Executive on our team , you could be the one who changes everything for our 28 million members. **Position ... orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare laws, reimbursement… more
- CVS Health (Albany, NY)
- …teams to analyze data, implement interventions, and monitor outcomes for Medicaid programs (STAR, CHIP, STAR Kids). Additional responsibilities include provider ... policies. + Maintain ANE reporting grids, coordinate with case management, and lead training initiatives for mandatory reporters. + Submit quarterly ANE reports to… more
- Centene Corporation (Latham, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to ... and regularly uses the Sales Force CRM as an activity tracking and lead /referral tracking tool, to manage appointments and follow up, manage their calendar and… more
- Lundbeck (Poughkeepsie, NY)
- …in the primary care and neurology settings. As an Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply… more