- Highmark Health (Albany, NY)
- …meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative ... markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk...and workflow across the continuum of variability in primary care and experience in managing provider and… more
- New York State Civil Service (Albany, NY)
- …Pass); gift cards, and new/ emerging rewards and affinity program initiatives. The Contract Management Specialist 1 will also provide support for Camping, ... HELP Yes Agency Parks, Recreation & Historic Preservation, Office of Title Contract Management Specialist 1/Trainee 2/Trainee 1 (NY HELPS)- Camping and Passes… more
- Sedgwick (Albany, NY)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- CBRE (Albany, NY)
- …basis and present these reports. Align cost plan with project master schedule; provide cost guidance and direction to achieve cost goals with ... costing of LEED/sustainability initiatives (as appropriate). + Review all invoices against cost plan; provide valuation services and signoff to project team… more
- Humana (Albany, NY)
- …completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. ... Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and… more
- Sharecare, Inc. (Albany, NY)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Option Care Health (Albany, NY)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Elevance Health (Latham, NY)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. Assists with more complex cases and may...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- Humana (Albany, NY)
- …for military health system operations and optimization including contractual performance and provider network management in order to provide the best experience ... operations to include customer support and outreach activities, network adequacy, access to care standards, provider relationships, provider education, and … more
- IMSolutions, LLC (Albany, NY)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Highmark Health (Albany, NY)
- …configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into ... to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and… more
- CDPHP (Albany, NY)
- …as the negotiation and innovation leader for all CDPHP network provider facilities, including hospitals, health systems, integrated delivery systems, ambulatory ... contracting including alternative payment methods (APMs), compliance with participating provider templates, reimbursement standards, budget targets, and process controls.… more
- Albany Medical Center (Albany, NY)
- …processes for Pharmacy, including Pharmacy-related value analysis.. The position will provide comprehensive analyses needed by Pharmacy teams in order to achieve ... + Performs in-depth analysis of performance on revenue and cost aspects for the system's involvement in the 340B...involvement in the 340B program, including financial analysis of contract pharmacy activity. + Acts as the primary financial… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- New York State Civil Service (Albany, NY)
- …making you an integral part of the team. * Provide technical assistance, contract , and performance monitoring of Social Care Networks. One of the key ... and/or oversight of health plan contracts with organizations that provide insurance coverage of health care services....* Family dental and vision benefits at no additional cost Additional Benefits * New York State Employees' Retirement… more
- IMSolutions, LLC (Albany, NY)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- St. Catherine's Center for Children (Albany, NY)
- …families, and adults we serve. We offer residential and therapeutic foster care programs for children and youth, Kinship support, homeless and community-based ... providing direct casework services to consumers enrolled in the Prevention Parent Care Program. Duties & Responsibilities include, but are not limited to: +… more
- Curia (Rensselaer, NY)
- …electrical infrastructure and advanced control systems including supporting documentation. We provide global contract research and manufacturing services to the ... Position in Rensselaer, NY The Instrument & Controls Engineer III will provide instrumentation and controls support for capital projects at the Rensselaer facility.… more
- Cadmus (Albany, NY)
- …/ estimates to completion (EACs / ETCs) for multiple projects of varying contract type, size, complexity, and risk level. They will work closely with project ... managers to provide recommendations on managing project financials and support financial...the natural world. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work… more