- 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
- 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
- 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
- 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 (Albany, 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
- Humana (Albany, NY)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems,...peer reviews to ensure compliance with coding guidelines and provide reports as needed + Maintain strict patient and… 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
- New York State Civil Service (Albany, NY)
- …Buyer (CPPB) preferred. EXPERIENCE: Minimum of two years of experience in procurement, contract management, or a related field; Experience in a government or public ... Sole/Single Source Procurements; Ensure accurate and thorough documentation of contract terms, specifications, and procurement requirements; Support the publication… more
- Iron Mountain (Albany, NY)
- …can elevate the power of your work at Iron Mountain. We provide expert, sustainable solutions in records and information management, digital transformation services, ... relationship and customer support. + Research of account status to prepare for contract negotiations. Responsible to assist in the Renewal and execute on the Renewal… 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 everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... loss and provides explanation of coverage. * Researches policy contract and interprets policy language to make coverage decisions...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… 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
- 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