Managed Care Jobs in Albany
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Search Results - Managed Care Jobs in Albany
Prisma Health-Albany
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
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Albany Medical Center-Albany
Duties
• The Contract Administrator, System Value Based Initiatives meets with representatives of payers, managed care organizations and other agencies to assist in the evaluation of current contracts or development of new contracting opportunities...
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Huron Consulting Group-Albany
Overview
In this role, you advise healthcare executives on managed care strategy and value-based care transformation, and you lead analytics to evaluate contracts and financial performance. You work with senior leaders to deliver strategic...
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Blu Omega-Albany
Preferred Qualifications
• Extensive experience with multi-state Medicaid and T-MSIS datasets
• Experience supporting CMS Medicaid reporting or data quality initiatives
• Background supporting Medicaid managed care or value-based care
• Proficiency...
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mindmatch.ai -
Merck Sharp & Dohme (MSD)-Albany
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
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Somatus-Albany
and advising on complex agreements with health plans, health systems/provider groups, and government-funded programs (e.g., Medicare Advantage, Medicaid Managed Care, CMMI Programs, and other state/federal initiatives). The ideal candidate is a practical...
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mindmatch.ai -
Abbott-Albany
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
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UnitedHealth Group-Albany
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
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Pennant Group-Albany
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
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Pennant Group-Albany
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
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Pennant Group-Albany
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
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Devoted Health-Albany
Active BLS certification at hire
• Comfort delivering care via video telehealth and using electronic documentation systems
• Familiarity with managed care models (preferred)
• Experience with Medicare populations and older adults (preferred)
• Experience...
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CSpring-Albany
of experience with Medicaid or public-sector healthcare programs
• 3+ years of experience writing SQL to analyze data in relational databases or data warehouses
• Understanding of Fee for Service and managed care claim adjudication
• Basic understanding of CMS...
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UnitedHealth Group-Albany
projects in a matrix organization
Key requirements
• 2+ years of professional Microsoft Office experience
• 1+ years of experience with Medicare Advantage products and bid submission process
• 1+ years of experience in a managed care organization
• 1...
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TEKsystems-Albany
ability to learn new technology)
• 2-5 years experience with pharmacy and heavy outbound calls
• Medicare/managed care experience preferred
• Must be able to work independently in a remote environment
• Bilingual a plus: Spanish, Mandarin, Korean...
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