- Excellus BlueCross BlueShield (Buffalo, NY)
- …the guidance of VP Network Management, this role is responsible for assigned provider contracting and reimbursement and recruitment. Meets customer needs ... Masters degree is preferred. + Familiarity with various risk-based and non-risk-based provider reimbursement methods, physician / ancillary / and hospital … more
- Pfizer (Albany, NY)
- …for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting ... **ROLE SUMMARY** The National Vaccine Contracting Director (NVCD) will serve as the primary...* Ability to deliver complex pricing/value messages to organized provider accounts in a fully compliant fashion * Demonstrated… more
- BlackRock (New York, NY)
- …people experience financial well-being. As a fiduciary to investors and a leading provider of financial technology, our clients turn to us for the solutions they ... when planning for their most important goals **.** **Team Overview** The Client Contracting Team is a team of legal professionals sitting within Client Experience… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... that result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement . Executes… more
- Northwell Health (Manhasset, NY)
- …including, fiscal accounting, reporting and control; billing and payroll; third party reimbursement and contracting ; regulatory cost reporting, internal ... applications to improve efficiencies; interprets and standardizes all fiscal and regulatory reporting standards to ensure compliance with government and … more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …strategic business decisions 12) Provide support for pricing and contracting strategies, designing patient reimbursement journeys, and developing patient ... frameworks and agreements that align with customer needs and payer expectations; provide insights into value-based pricing models, reimbursement strategies and… more
- CBRE (Albany, NY)
- …changes when moving from firm fixed price type contract environment to a cost- reimbursement type contract environment. Provide training on government audit best ... clear, practical manner + Preferred CPA, CIA, CFE or CGFM certification/license + Regulatory Expertise - Deep understanding of government contracting rules and… more
- Highmark Health (Albany, NY)
- …professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement or Provider Contracting **LICENSES or ... and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and effectively administered to be consistent with corporate guidance and all regulatory , legal, and ethical guidelines + Foster strong partnerships with Medical ... Affairs, Clinical Development, Market Access, Market Research, Regulatory , Legal, and other functions in developing brand strategy, tactics, and resources + Partner… more
- Molina Healthcare (Albany, NY)
- …requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains ... to act as a liaison between Finance and Network Contracting as well as other external teams. + Must...+ Experience working on Managed care analytics and healthcare reimbursement models is required. + Must be able to… more
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