- Molina Healthcare (Buffalo, NY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Buffalo, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Buffalo, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Buffalo, NY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Catholic Health (Buffalo, NY)
- …timely high quality patient care. Together with the Medical Directors, the System Director develops a clinical support staffing plan, provider on-call schedules ... to the ambulatory practices within the services, the System Director is responsible for all provider contracts...support the strategic objectives. Working collaboratively with the medical director to provide high quality for patients… more
- STG International (West Seneca, NY)
- STGi is currently seeking a Medical Director to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of the Medical ... Director is to provide oversight for the...safety. * Design and participate in quality improvement, care management , risk management , peer review, utilization review,… more
- Niagara County Community College (Sanborn, NY)
- …A strong understanding of IT security, including system hardening, intrusion detection, network architecture, and vulnerability management . + Proven ability to ... Position Information Position Title Assistant Director for Information Technology Security Position Category Full...provide guidance on their integration into the existing network infrastructure, working with vendors to design solution, obtain… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. ... encourage you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management , quality improvement… more
- Molina Healthcare (Buffalo, NY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Anywhere Real Estate (Buffalo, NY)
- ** Director , Strategic Partnerships & Planning** This role reports into an executive leader at Anywhere Integrated Services. Our team is focused on designing and ... base salary and variable compensation. **Key Responsibilities:** * Partner Management - Support ownerships of broker-owner relationships, input, and questions… more
- Anywhere Real Estate (Buffalo, NY)
- **About the Anywhere Leads Team** The Anywhere Leads Network comprises 500 brokers across Coldwell Banker, Century 21, ERA, Better Homes & Gardens Real Estate, ... the VP, Operations & Customer Insights. The Anywhere Leads Network team is focused on managing and growing our...the core of our revenue optimization strategy. As the ** Director of Leads Insights** , you will be a… more
- Anywhere Real Estate (Buffalo, NY)
- …and transaction coordination offerings. **About the Role** This new, high-profile Director , New Program Development role will be accountable for developing new ... + Excellent presentation skills; mastery of PowerPoint, Excel, and agile project management tools. + No industry experience required. Experience in franchising or… more
- Molina Healthcare (Buffalo, NY)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Sedgwick (Buffalo, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience required + **Program ... management experience specifically in the Casualty space/Workers Compensation** +...best brands? + Apply your knowledge and experience to provide stewardship to our clients. + Be a part… more
- The Salvation Army (Buffalo, NY)
- …Army, Buffalo Area Services, located in Buffalo, NY, seeks a Social Care Network Navigator to provide navigation, screening and referral services to all ... Overview Seeking a Social Care Network Navigator/Screener to join our Buffalo Area Services...essential functions. + Work with the Family Resource Center Director to understand current services and keep resource material… more
- DePaul (Buffalo, NY)
- …Training, Rehabilitative Counseling, Skill Development, Socialization, Substance Abuse Services, Symptom Management . + With assistance from the Program Director , ... Plan with the resident and his or her support network by identifying the individual's needs and desires in...new supports and interests. + Works with the Intake Director to provide perspective residents with tours… more
- Amergis (Buffalo, NY)
- …communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based ... healthcare programs, local insurance payors, physician groups, and case management groups. The Business Development Manager manages with an...features, and benefits of the company as a healthcare provider . + Develops a minimum of 10 pursuit plan… more
- ASM Global (Buffalo, NY)
- …AND RESPONSIBILITIES + Exceed monthly and yearly revenue targets set forth by Director + Build relationships to provide repeat business + Proactively create ... partners front and center through our white-label approach. Our network of 450 venues worldwide, hosting 20,000 events and...other relevant companies, organizations, and groups + Prepare and provide required reports to the Director of… more
- Caz Recovery (Buffalo, NY)
- …compliance while supervising IT staff. This role will be overseen by the Director of Operations and provide leadership while managing various projects throughout ... to cybersecurity and IT infrastructure. + Coordinates vendor relationships and assists Director of Operations with contract management for IT services and… more