- Cognizant (Albany, NY)
- …quality, productivity, screening, and approvals and any other critical metrics per contract with clients. This leader will manage teams that connect uninsured ... among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding.… more
- Albany Medical Center (Albany, NY)
- …leading economic assessments and overseeing contract implementation aligned with contract terms. The Director is skilled at drafting, analyzing, and ... negotiating complex payer contracts. The Director develops contract proposals and leads in...medical services including, but not limited, to Medicare and Medicaid . + Proven skills and knowledge relating to the… more
- Molina Healthcare (Albany, NY)
- …& Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which ... development. * Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the...* Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies to improve EDI/MASS rates.… more
- Molina Healthcare (Albany, NY)
- …coordinates communications with members; and ensures that member materials meet contract and regulatory requirements. + Maintains knowledge of Molina contractual ... industry. + 3+ years' experience in a managed care environment; preferably in Medicaid . + More than 1 year of experience in a management role. **Preferred… more
- NTT DATA North America (Albany, NY)
- …United States (US). The Senior Security Consultant will report to the Project Director for the Division of Operations and Systems and have responsibility and ... oversight of security, privacy, and compliance for the Medicaid Transformation program. The mission of the program is to implement eligibility determinations for the… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology ... in the customer forecast process - understand national strategy, align with contract strategy, and represent needs of the customer. *Remain cognizant of managed… more