• Director of Managed Care…

    Stony Brook University (Commack, NY)
    Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed ... Director will oversee the daily operations of the Managed Care Contracting Team, ensure...Patient Access. **Duties of a Director of Managed Care Contracting may include… more
    Stony Brook University (08/08/25)
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  • Supervisor, Payor Contracting

    Cardinal Health (Albany, NY)
    …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...with strategy. **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate… more
    Cardinal Health (09/10/25)
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  • Managed Care Specialist

    WMCHealth (Valhalla, NY)
    …1-3 years of experience in a Healthcare setting, required.Minimum one year in a managed care contracting setting, required. Basic knowledge of reimbursement ... The Managed Care Specialist under the direction of the Senior Director of Managed Care will assist in working with the participating managed … more
    WMCHealth (08/01/25)
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  • Director Financial Services Physician…

    Catholic Health (Buffalo, NY)
    …Additionally, in collaboration with CH, the Director Financial Services collaborates with managed care to ensure accurate managed care pricing ... from Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4p Summary: The Director Financial Services, Physician Enterprise serves as the finance executive for… more
    Catholic Health (06/28/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    …outlook required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation ... ** Director Clinical and DRG Denials** **Location:** Larkin Bldg...methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including but not limited… more
    Kaleida Health (06/19/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Albany, NY)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (08/08/25)
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  • Director , Research Finance & Analysis

    Weill Cornell Medical College (New York, NY)
    …cost-benefit analyses for proposed research initiatives and investments as well as managed care contracting negotiations with NewYork-Presbyterian. Present ... Title: Director , Research Finance & Analysis Location: Midtown Org...medical center that is committed to excellence in patient care , scientific discovery, and the education of future physicians… more
    Weill Cornell Medical College (07/26/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Albany, NY)
    …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
    Highmark Health (07/30/25)
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  • Senior Medical Director (Medicare)

    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
    Molina Healthcare (06/13/25)
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  • Associate Director , US Immunology Market…

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    …**This Job Could Be For You If ** + You bring direct experience working for a managed care health plan or PBM is highly desirable + You have strong knowledge of ... Regeneron is looking for an Associate Director of US Market Access Strategy for Dupixent...are not limited to new indication development, price and contracting strategy, payer value proposition development, payer positioning and… more
    Regeneron Pharmaceuticals (09/09/25)
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