- Staffing Solutions Organization (Albany, NY)
- …under New York's 1115 Waiver Amendment. Tasks include: + Act as a liaison between the Social Care Networks and other stakeholders. This collaborative ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Staffing Solutions Organization (Albany, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... of the state-wide Health Home program which provides comprehensive care management to over 180,000 New Yorkers with complex...to complete data requests internally + Serves as a liaison to state agency partners such as the Office… more
- Northern Rivers Family Services (Albany, NY)
- Managed Care Liaison Job Details Job Location Albany-Academy Main-NPCS - Albany, NY Position Type Full Time Education Level High School/GED Salary Range ... Travel Percentage Up to 50% Job Shift Day Job Category Nonprofit - Social Services Description Managed Care liaison As a Managed Care Liaison ,… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
- IQVIA (Albany, NY)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... **Medical Science Liaison ** We are seeking Medical Science Liaisons who...experience in a health related system, pharmaceutical company, or managed care environment required + Relevant clinical… more
- Cardinal Health (Albany, NY)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... seasoned expertise in the managed care industry, this leader translates the...discussions + Serve as the primary internal champion and liaison , seamlessly coordinating with cross-functional teams to ensure the… more
- Cardinal Health (Albany, NY)
- …concepts necessary to ensure contract compliance. Has the ability to understand managed care trends and competitive positioning. + Exhibits strong financial ... acumen and logical decision-making skills in the general business environment. Validates managed care contracts through review and understands and demonstrate… more
- Cardinal Health (Albany, NY)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- New York State Civil Service (Schenectady, NY)
- …patient's plan of care meets their needs and acting as a liaison staff, providers, families or others involved in a patient's treatment to facilitate ... Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- CVS Health (Albany, NY)
- …team. As a Clinical Advisor, you will utilize clinical and analytical skills in a managed care environment to positively impact our clients and the health of ... and solutions. You will partner and serve as a liaison with internal teams and other clinicians supporting clinical...and overnight stays. **Required Qualifications** - 3 years of managed care experience and/or 1 year of… more
- CDPHP (Latham, NY)
- …to work with our Medical Director team. Great opportunity to get involved in managed care ! QUALIFICATIONS: + MD or DO required. Additional advanced degree(s) ... advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan's management....practice experience required. + Minimum of three (3) years managed care or practice management is preferred.… more
- Molina Healthcare (Albany, NY)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
- Staffing Solutions Organization (Albany, NY)
- …should have experience and an understanding of Medicaid and Medicaid services, including Managed Care and billing practices **Basic Qualifications:** + 8 years ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Albany Medical Center (Albany, NY)
- …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... AMHS to facilitate best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees and leads the day to… more
- Centene Corporation (Latham, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... 8:30am-5:00pm. Mileage reimbursement and all equipment provided. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of… more
- New York State Civil Service (Schenectady, NY)
- …Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional, ... services. The treatment coordinator shall function as the primary point person and liaison at the clinic for individuals, referral sources, collaterals, and care … more
- New York State Civil Service (Schenectady, NY)
- …as they pertain to other service reviews,- Reviewing Medicaid Compliance Liaison 's self-disclosures, quarterly activity summaries, and claim monitoring review to ... Savings Plan.* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care ...System (ERS), which is recognized as one of the best- managed and best-funded public retirement systems in the nation.*… more
- CVS Health (Albany, NY)
- …- Proven success while working in a matrixed environment. - 1+ year managed care experience - Creating accountability, developing and executing strategy and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Cardinal Health (Albany, NY)
- …Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... on all unpaid and delinquent accounts in a timely manner; serving as a liaison between the Provider, Payors, and Patient with regards to payment collections; and… more
