- Elevance Health (New York, NY)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Woodbridge, NJ)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Northwell Health (Westchester, NY)
- …mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care , as appropriate; + Assesses level of pain and pain management; + ... Communicates/documents patient's physiologic health status and plan of care . 2. Assesses patient's psychosocial health status + Elicits perception of medical/nursing… more
- Molina Healthcare (New York, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Weill Cornell Medical College (New York, NY)
- …priorities for nursing care through patient assessment and develops nursing care plans. Prepares equipment and assists provider during examination, testing, ... Title: Nurse Practitioner (FNP) - Contract Location: Upper East Side; Lower East Side...serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell… more
- Molina Healthcare (New York, NY)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- Elevance Health (New York, NY)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- Parsons Corporation (Newark, NJ)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... **Job Description:** **Parsons is looking for an amazingly talented** ** Cost Engineer - Reporting** **to join our team! In...Arcadis, and Mace (MPA) is the Delivery Partners (DP)to provide advice, leadership, and support to GDC for the… more
- PSEG (Newark, NJ)
- …in the cost control process and oversee daily operation of contract staff augment resources performing cost control function. Successful candidate will ... 500 company, as well as the attention, camaraderie and care for one another you might typically associate with...to increase efficiencies. + Enhance oversight, and increase project cost data quality + Provide a monthly… more
- Centene Corporation (New York, NY)
- …(including behavioral health, and social needs) to provide quality, cost -effective healthcare outcomes. Develops a personalized care plan/service plan as ... as appropriate, between the member and/or family and the care provider team to ensure identified services...resident of the state if Illinois. For Illinois Youth Care Contract : Bachelor's degree in nursing or… more
- Weill Cornell Medical College (New York, NY)
- … care contracts. **Job Responsibilities** + Serves as a liaison for Managed Care Enrollment and Payer Compliance staff on contract provisions and policies by ... status, performance and shared saving program, and processes and procedures of managed care plans. + Maintains and updates contract language grid. **Education**… more
- Acacia Network (Bronx, NY)
- …and notes in accordance with departmental policies. + Accompany patient to Primary Care Provider appointments and document outcomes. + Demonstrate the ability to ... LCDS Care Coordinator Bronx, NY : 9/17/2024 Job Description...aim of high quality, great experience at a lower cost . Acacia champions a collaborative environment to deliver vital… more
- CVS Health (New York, NY)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Strong communication, critical ... to identify and manage initiatives that improve total medical cost and quality. + Health Plan/Payer or Provider...+ Medicaid contracting & setup experience. + Experienced in provider /vendor contract set up in core Aetna… more
- Parsons Corporation (New York, NY)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... **Parsons is looking for an amazingly talented** **Senior Manager, Contract Administration** **to join our team! In this role,...and Mace (MPA) is the Delivery Partners (DP) to provide advice, leadership, and support to GDC for the… more
- Planate Management Group LLC (New York, NY)
- …duration to the Government construction manager and Contract Specialist + Provide potential corrective scopes and cost estimates for modification(s) to the ... government representative or contract specialist/officer and provide technical assistance to assist in answering requests for information (RFI) from construction… more
- Care Plus NJ (Paramus, NJ)
- …New Jersey has been a leader in mental health and a pioneer in integrated care in Northern New Jersey for more than 45 years. CarePlus strives for excellence in ... community-based services. Our goal is to offer affordable, accessible, and holistic-centered care that empowers individuals to reach their full potential and enhance… more
- AON (New York, NY)
- …Comparison to include changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review + Responsible for ensuring proper ... adjustments and premiums on polices and other insurance and provider documents + Lead, measure and report on ongoing...changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review +… more
- The Cigna Group (New York, NY)
- …for the **Network Contractor** role among early-career employees. Our training program will provide you with an in-depth understanding of what it takes to succeed in ... healthcare network development and provider (ie, physicians and hospitals) contracting. Throughout this multi-week...providing the highest quality of healthcare at the lowest cost to our customers. + As a new Network… more
- The Mount Sinai Health System (New York, NY)
- …of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is...financial terms. + Write SQL scripts that can calculate Cost , Revenue and Cost per Utilization. +… more