- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high...Responsibilities + Strategic and Operational Planning + Contributes to System payer contracting strategic planning,… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... provider incentives with quality outcomes, health equity, and cost-effective care. The Director will serve as the enterprise lead for VBC program design, working… more
- Mount Sinai Health System (New York, NY)
- …pharmacy representation for renewals involving consultants. + Collaborate with Mount Sinai Health System Payer Contracting leadership with contracting ... Mount Sinai Human Resources partners, the Pharmacy Benefits Program Director is responsible to provide service support, reporting, pricing,...System is one of the largest academic medical systems in the New York metro area, with more… more
- City of New York (New York, NY)
- …NYC communities. CHECW addresses inequity across community and health care systems in partnership with community, faith-based, and health care organization. CHECW's ... Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services....an experienced attorney to sere as Policy and Legal Director of OHSSA. This position will also serve as… more
- University of Rochester (Rochester, NY)
- …growth, service development and payor/PBM strategies. + Participates with payer contracting leaders of the health system in the evaluation and negotiation ... Central Fill and Command Center within the UR Medicine System and affiliated systems . This candidate will...expansion of the 340B program within the UR Medicine system . Works collaboratively with the Director , 340B… more
- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director , Clinical & DRG Denials provides clinical leadership and...a positive, team-oriented work environment. Develops relationships and influences payer policies and procedures as well as facilitating strong… more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected...organization to analyze, communicate, and negotiate client performance and contracting . **What You'll Be Doing:** + Serve as the… more
- Highmark Health (Albany, NY)
- …both the return on investment (ROI), and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health… more
- City of New York (New York, NY)
- …impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations. ... the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services. The division's Deputy… more
- City of New York (New York, NY)
- …identification and application for new funding opportunities. OHSSA Healthcare Operations and System Improvement: Manage key vendor relationships and systems for ... impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations.… more
- Pfizer (Albany, NY)
- …including Vaccines Account Directors (VADs), Vaccines Account Managers (VAMs), Senior Director , National & Specialty Accounts, National Account Directors (NADs), and ... an Account Enablement Director . The team is focused on achieving US Vaccine...Market Access, Legal, Sales, Pharmacy, Compliance, Pfizer Public Policy, Payer and Channel Access, Field Medical teams, et al.… more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... you're working with internal teams, external partners, or complex healthcare systems , your focus on building trust, delivering results, and fostering positive,… more
- Molina Healthcare (Albany, NY)
- … system requirements of customers as it pertains to contracting , network management and credentialing. **Knowledge/Skills/Abilities** * In conjunction with the ... claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply... Director , Provider Contracts, develops health plan-specific provider … more
- NASCO (Albany, NY)
- … + Strong oral and written communication skills + Strong healthcare industry and systems knowledge + Knowledge of system development methodologies such as Agile, ... NASCO and Plan technical vendors, Plan Architects and NASCO personnel. Assists the Director of Customer Success to ensure the Plan/NASCO contract is followed while… more