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Managed Care Jobs in New York

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Search Results - Managed Care Jobs in New York
Athari-New York
Maintain current awareness of evolving regulations and interpretations, advisory letters, enforcement letters and policy issues impacting managed care organizations Continually assess the effectiveness of departmental functioning, including the people...
resume-library.com -
gpac-New York
based strategies to prevent hospitalization and inappropriate ER utilization.  •  Engage members and families to optimize wellness, self-care, and functional capabilities.  •  Oversee managed care caseload, evaluating assessment data and clinical notes...
Integrated Resources, Inc-New York
of two years relevant work experience in a managed care, health plan or provider office setting. Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access. Proficient in Adobe Pro for file extracting, splitting...
resume-library.com -
MJHS-New York
Job Description Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services...
Mount Sinai Health System-New York
the patient population; - Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion.  •  Provides clinical information requested by the managed care companies in accordance with contractual...
Tempositions, Inc.-New York
system.  •  Submit insurance claims and follow up on claims processing through clearinghouses.  •  Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers.  •  Verify patient eligibility and coverage across various providers...
Hospital for Special Surgery-New York
in the negotiation of physician managed care contracts, analytics, and financial modeling.  •  Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans.  •  Upholds Standards/Expectations of HSS Staff...
New York
of the organization. This position shall also be responsible for collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU Dentistry. Responsible for securing optimal reimbursement and protecting...
icims.com -
Mitchell Martin-New York
At least 5-7 years of experience in managed care clinical operations, with 3+ years in a supervisory or managerial role. For Non-Registered Nurses: 10+ years of experience in managed care compliance, clinical operations, or quality management auditing...
resume-library.com -
VNS Health-New York
Work Experience:  •  Minimum of eight (8) years of progressive leadership in quality improvement with specific managed care experience with (5) years of progressive managerial experience in healthcare required  •  Extensive knowledge of managed care...
appcast.io -
Physician Empire-New York
medical staff or physician leadership role within a medical group or ambulatory care setting.- Prior experience/involvement with a risk-sharing environment managed care, clinically integrated network, or ACO is preferred.- Knowledgeable and experienced...
The Society For Cardiovascular Angiography And Interventions-New York
Advanced Practice Providers.   2.  2 State-of-the-art cath labs and an active open-heart surgery program at a 217-bed trauma II hospital.   3.  Established patient panel with no managed care; incoming physician could be ramped up in less than 90 days.   4.  J1 Visa...
appcast.io -
Centene Medicare-New York
or community relations experience including previous managed care experience, preferably in Medicare required Bilingual in English and any other language is highly preferred State Accident and Health Insurance Agent License Upon Hire required: Current state...
Manatt, Phelps & Phillips, LLP-New York
or major initiatives from start to finish.  •  Experience in one or more of the following areas is highly desired:  •  Medicaid policy and strategy, including conceptualization and design of large-scale Medicaid payment, delivery and managed care systems...
mindmatch.ai -
MMC Group-New York
to enrollment services calls, provides responses to questions, mails information in response to request, and refers callers in the event of problems or concerns.  •  Educates clients on managed care.  •  Assesses client's health care needs and assists clients...
smartsearchonline.com -
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