- Elevance Health (New York, NY)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Northwell Health (New Hyde Park, NY)
- …mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care , as appropriate. + Assesses level of pain and pain management. + ... Communicates/documents patient's physiologic health status and plan of care . 1. Assesses patient's psychosocial health status + Elicits perception of medical/nursing… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 137298 Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome ... identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and implementing… more
- Molina Healthcare (New York, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Weill Cornell Medical College (New York, NY)
- …priorities for nursing care through patient assessment and develops nursing care plans. Prepares equipment and assists provider during examination, testing, ... Title: Nurse Practitioner (FNP) - Contract Location: Upper East Side; Lower East Side...serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell… more
- Molina Healthcare (New York, NY)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- PSEG (Bethpage, NY)
- …agreements * Vendor Management: o Manage and track vendor spend, most notably contract financials that meet IT cost center manager's expectations for tracking ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- Elevance Health (New York, NY)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- Parsons Corporation (New York, NY)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... **Job Description:** **Parsons is looking for an amazingly talented** ** Cost Engineer - Reporting** **to join our team! In...Arcadis, and Mace (MPA) is the Delivery Partners (DP)to provide advice, leadership, and support to GDC for the… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 136346 Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome ... identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and implementing… more
- Nuvance Health (Danbury, CT)
- …3.Organizes and analyses physician practice reimbursement, utilizing appropriate rates based on contract structure, place of service, provider and modifiers for ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and...Decision Support systems for all relevant payer plans to provide necessary volume, payment and cost data.… more
- Centene Corporation (New York, NY)
- …(including behavioral health, and social needs) to provide quality, cost -effective healthcare outcomes. Develops a personalized care plan/service plan as ... as appropriate, between the member and/or family and the care provider team to ensure identified services...resident of the state if Illinois. For Illinois Youth Care Contract : Bachelor's degree in nursing or… more
- Weill Cornell Medical College (New York, NY)
- … care contracts. **Job Responsibilities** + Serves as a liaison for Managed Care Enrollment and Payer Compliance staff on contract provisions and policies by ... status, performance and shared saving program, and processes and procedures of managed care plans. + Maintains and updates contract language grid. **Education**… more
- Nuvance Health (Norwalk, CT)
- …appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity ... physician practices locations, including The Heart Center, a leading provider of cardiology care . Non-acute care...ELIGIBLE EXTERNAL CANDIDATES* Summary: Ensure that patients receive quality care in the most cost -effective manner and… more
- Acacia Network (Bronx, NY)
- …and notes in accordance with departmental policies. + Accompany patient to Primary Care Provider appointments and document outcomes. + Demonstrate the ability to ... LCDS Care Coordinator Bronx, NY : 9/17/2024 Job Description...aim of high quality, great experience at a lower cost . Acacia champions a collaborative environment to deliver vital… more
- Nuvance Health (Danbury, CT)
- …medical groups and ancillaries) as well as WCHN PHO utilizing financial and cost accounting systems in support of the contract negotiation process. Creates ... *Description* *Summary:* Network wide role is responsible for developing and implementing contract reimbursement models and data reporting in support of the payer… more
- CVS Health (New York, NY)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Strong communication, critical ... to identify and manage initiatives that improve total medical cost and quality. + Health Plan/Payer or Provider...+ Medicaid contracting & setup experience. + Experienced in provider /vendor contract set up in core Aetna… more
- Parsons Corporation (New York, NY)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... **Parsons is looking for an amazingly talented** **Senior Manager, Contract Administration** **to join our team! In this role,...and Mace (MPA) is the Delivery Partners (DP) to provide advice, leadership, and support to GDC for the… more
- PSEG (Bethpage, NY)
- …utility or construction contracts experience + Working knowledge of project and contract mangement principles and practices, inclusing financial, cost mangement, ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that... law, scheduling and cost control techniques.ncial, cost management, contract law, scheduling and … more