Managed Care Jobs in New York State

1 - 15 of 85

Search Results - Managed Care Jobs in New York State

Senior Payer Manager Managed Care

AdventHealth Corporate-Altamonte Springs-today

and state contracts to ensure alignment and compliance. Supports Managed Care Contract Administration, Central Denials team, and Regional PFS departments in resolving operational, accounts receivable, billing, and related issues. Maintains Epic Certification...

Business Office Manager

Ontario Center-Canandaigua-yesterday

Experience with Medicare, Medicaid, managed care, and insurance processes preferred /n • /n Confidence and professionalism when discussing financial matters with residents and families /n • /n Ability to learn and navigate multiple computer programs...

Director of Quality & Provider Engagement - Value-Based Care

ilocatum-New York-yesterday

by a high-functioning, well-led team. Required Qualifications • Strong analytical and problem-solving skills, with the ability to turn complex data into insight and action • Quality or HEDIS performance experience under value-based care, at a managed-care...

Medical Director Physician

Tandym Health-New York-3 days ago

in a managed care setting, in particular, utilization management Your privacy is important to us. For consideration, please submit your CV in confidence, and our recruiter will contact you to discuss the job location and details before forwarding your CV...

Business Office Manager

Ontario Center-Canandaigua-yesterday

managed care, and insurance processes preferred • Confidence and professionalism when discussing financial matters with residents and families • Ability to learn and navigate multiple computer programs and databases efficiently • Exceptional attention...

Medical Director Physician

Tandym Health-Buffalo-3 days ago

Pharmacy Resident

MetroPlusHealth-New York-2 days ago

including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system...

Medical Director Physician

Tandym Health-Rochester-3 days ago

OB/GYN Nurse Practitioner

BMS Family Health and Wellness Centers-New York-yesterday

patient encounters within 48 hours and reviewing/signing laboratory results, reports, and clinical documents in accordance with BMS policies. • Maintain compliance with Managed Care/HMO requirements, Joint Commission standards, HRSA guidelines, and New...

Job Posting Title Account Manager, Provider Relations (Health Plans)

New York-vnshealth.org-2 days ago

knowledge of managed care operations and government-sponsored programs, and the ability to effectively navigate and coordinate across multiple internal and external stakeholders. Responsibilities: What We Provide • Referral bonus opportunities...

Nurse Practitioner, Primary Care (NP, Primary Care)

Potomac Healthcare Solutions-Ithaca (NY)-3 days ago

and works with these patients utilizing rules set forth by the VA for co-managed care. • Completes any and all clinical reminders “due” at the time of each patient visit. • Completes documentation of the medical record within 24 hours of a patient...

Telephone Service Center Manager

New York-icims.com-2 days ago

and implement policies and procedures. Comprehensive knowledge of regulations governing Article 28, managed care and commercial insurance plans. Preferred Skills, Knowledge and Abilities: Knowledge of Medicaid and HIPAA including administrative best practices...

Case Manager RN- Field

New York-somatus.com-2 days ago

management experience • Experience working within a managed care environment Compensation: $85,000 to $97,000 per year We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team...

Admissions Coordinator

Cobble Hill Health Center-Brooklyn (NY)-hostedats.com-1 week ago

in marketing and outreach efforts to support census development Qualifications • Previous experience in admissions required. • Experience in a nursing home or healthcare setting strongly preferred • Knowledge of Medicare, Medicaid, and managed care processes...

Underpayment Recovery Expert - Remote

Mercor-New York-careers-page.com-3 weeks ago

Position: Underpayment & Managed-care Contract Specialist Type: Contract Compensation: $85/hour Location: Remote Role Responsibilities • Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid...