- Cardinal Health (Albany, NY)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Albany, NY)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Molina Healthcare (Albany, NY)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Albany, NY)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- Whitney Young Health Center (Albany, NY)
- …certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: $76,000 ... Registered Nurse (RN) Care Manager - Women's Health/Pediatrics (Req...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Molina Healthcare (Albany, NY)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Albany, NY)
- …(LPN) Program **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED ... in OB HIGH RISK / maternal health case management, disease management, managed care or medical or behavioral health settings. To all current Molina employees:… more
- CenterWell (Albany, NY)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Elevance Health (Latham, NY)
- …acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- CDM Smith (Albany, NY)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Mohawk Opportunities Inc. (Schenectady, NY)
- …those that are in need but not currently receive service and coordinate with managed care companies. + Provide transportation to clients using the agency's ... Case Manager for Behavioral Health Program Responsibilities of the...and a focus on making positive connections to coordinate care management services for the Behavioral Health Home clients.… more
- Molina Healthcare (Albany, NY)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with leadership based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting.… more
- Albany Medical Center (Albany, NY)
- …consultation as needed. + Counsel and refer families regarding SSD, Medicare, Medicaid, Managed Long Term Care Programs, TBI programs, etc. + Liaison with ... $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany...a significant regional impact on delivering high quality specialized care for patients with Alzheimer's disease and other related… more
- CAI (Albany, NY)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- Molina Healthcare (Albany, NY)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Elevance Health (Latham, NY)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... ** Manager , Medical Director - Transformation Initiatives** Location: This...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Education Department, State Title Education Program Manager 2, Box OEP-78/03205 Occupational Category No Preference Salary Grade 665 Bargaining ... State Education Department is seeking candidates for the position of Education Program Manager 2 within the Office of Standards and Instruction (OSI). OSI is… more
- dsm-firmenich (Schenectady, NY)
- …to 5:00pm** **Annual Salary Range: $100,000- $135,000** As a **SHE & Security Manager for dsm-firmenich, Health Nutrition and Care (HNC-Premix** ), you will ... **SHE (Safety, Health, Environmental) and Security Manager (SHE&S)** **Schenectady, NY** **Monday - Friday, 8:00am...proposals. Ensures the process safety life cycle is technically managed in a consistent way and in CAPEX projects.… more
- CS Energy (Albany, NY)
- CS Energy is hiring a Project Manager . The Project Manager leads several project teams and works in partnership with our Project Operations and Field Management ... experience, with progressively greater responsibility + Successfully led and managed complex project or portfolios valued at $20+ million...Program + Access to FSA - Health & Dependent Care + Access to Short Term Disability + Employer… more
- CS Energy (Albany, NY)
- CS Energy is hiring a Project Manager . The Project Manager leads several project teams and works in partnership with our Project Operations and Field Management ... experience, with progressively greater responsibility + Successfully led and managed complex project or portfolios valued at $75+ million...Program + Access to FSA - Health & Dependent Care + Access to Short Term Disability + Employer… more