- Molina Healthcare (Albany, 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 (Albany, 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 (Albany, 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
- Evolent (Albany, NY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Albany, 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
- Whitney Young Health Center (Albany, NY)
- Director of Network Operations and Security (Req 101000) Albany, NY (http://maps.google.com/maps?q=4+Airline+Drive+Albany+NY+USA+12205) Apply Description Be a ... of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible...commuter benefits and more! GENERAL RESPONSIBILITIES: The position of Director of IT Network Operations and Security… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- CVS Health (Albany, NY)
- …peers to ensure alignment across the broader platform strategies and capabilities. + Provide change management rigor to ensure smooth transitions for end users ... We are recruiting to fill a critical leadership position on the Network Platform Solutions team. The role will have responsibility for identifying, understanding,… more
- Trinity Health (Albany, NY)
- …to leadership on programmatic investment areas. + In collaboration with the provider engagement/ network development team, support efforts to expand and ... referrals. + Lead and collaborate on efforts to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a… more
- Datavant (Albany, NY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Elevance Health (Latham, NY)
- …on ethical and clinically appropriate use of healthcare data. + Partner with Provider Network leaders to shape modernization strategies that drive value-based ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &… more
- Molina Healthcare (Albany, 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
- Merck (Albany, NY)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- New York State Civil Service (Albany, NY)
- …in major IT technologies, such as data storage systems (SANs), database management and architecture, IT security, network infrastructure, and high-performance ... NY HELP No Agency Attorney General, Office of the Title Deputy Director of EISG: Position for Expr. IT Manager(6406) Occupational Category Legal Salary Grade NS… more
- Datavant (Albany, NY)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Albany, NY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- SUNY Schenectady County Community College (Schenectady, NY)
- …Executive Director of the Capital North Regional Adult Education Network (RAEN) is a full-time, 12-month, grant-funded, unrepresented position responsible for ... education, and personal growth. Responsibilities: + Assist the Executive Director to provide technical assistance to programs...by ensuring timely submission of reports and accurate data management . + Stand in for the Executive Director… more
- Highmark Health (Albany, NY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Learning Care Group (Clifton Park, NY)
- …retain quality staff. + Learn! In addition to receiving mentorship from your School Director , you will join a network of Early Childhood Education professionals ... Assistant Director Share by Email Share on LinkedIn Share...unique Master Teacher Program. + You want recognition. We provide a positive, fun workplace where employees are appreciated.… more
- Sumitomo Pharma (Albany, NY)
- …the design and execution of program operations, systems, metrics, and HUB vendor network . The Director will work closely with key stakeholders including the ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more