Provider Relations Jobs in New York State
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Search Results - Provider Relations Jobs in New York State
Medix™Westchester (NY)
Job Title: Provider Relations Manager (Community Outreach, Medicaid)
Locations: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester
***you must be open to traveling to anyone of these locations as needed for community events...
Marpa MindsSuffern
role located in Suffern, NY, for a Physician Liaison/Regional Director of Provider Relations (Westchester/Rockland) at Marpa Minds. The responsibilities include building and maintaining relationships with healthcare providers, introducing SPRAVATO...
New Yorkvnshealth.org
Overview:
Manages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential providers for relationship building, recruitment, credentialing, re-credentialing...
CareSourceBronx
Job Summary:
This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision...
Pride HealthNew York
Perform claims adjustments for overpayments and underpayments
• Collaborate with internal teams (Provider Relations, Medical Management, Claims)
• Maintain accurate documentation and data entry in IMAX systems
• Analyze datasets to identify...
Pride HealthNew York
supports the adjudication and adjustment of claims across multiple lines of business and collaborates closely with Provider Relations, Medical Management, Member Services, and Claims Processing teams.
Key Responsibilities
• Serve as a primary liaison...
CareSourceNew York
Job Description
Job Summary:
This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight...
Pride HealthManhattan (NY)
and compliance with organizational policies
• Assist in data collection, reporting, and quality improvement initiatives
• Collaborate with cross-functional teams such as customer service, utilization management, and provider relations
• Participate in audits...
New Yorkvnshealth.org
Overview:
Provides management oversight to the department in the development and maintenance of positive relationships with the participating physicians, facilities, home-based and ancillary providers. Develops, manages and monitors...
VNS HealthNew York
departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness.
What We Provide
• Referral bonus opportunities...
New Yorkvnshealth.org
staff at all levels including but not limited to, Provider Relations, Utilization Management, Medical Directors, and/or, Care Management, to achieve resolution of appeals and grievances. Works with management in developing long and short-term objectives...
East Syracuseicims.com
enrollments, group and member eligibility, benefit design, provider relations, and quality assurance of the products.
• Coordinate, maintain, and manage the distribution of monthly, quarterly, and annual management reports for PBM clients.
• Oversee...
New Yorkvnshealth.org
regulatory translation into system logic, claims dispute resolution, audit governance, cost avoidance initiatives, and operational service excellence. Functions as the senior liaison across Plan Operations, IT, Compliance, Finance, Provider Relations...
Tono HealthNew York
and mentoring the next cohort of territory representatives as we scale.
Qualifications:
• 5–8+ years of experience in healthcare sales (Pharma, MedTech, Diagnostics, or Provider Relations), Partnerships, or B2B SaaS.
• Proven Top Performer: Track record...
New Yorkvnshealth.org
Overview:
Manages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential providers for relationship building, recruitment, credentialing, re-credentialing...
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