- Molina Healthcare (Syracuse, NY)
- …strategy to provide quality and cost-effective member care. Essential Job Duties * Supervises healthcare services operations support team members within ... health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION Job Summary Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical ... policies, protocols. * Maintains detailed records of auditing results. * Assists healthcare services with developing training materials or job aids as needed to… more
- Molina Healthcare (Syracuse, NY)
- **Job Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience,and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13692/patient- services - support -coordinator/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_ **Posted… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …management programs. **Job Summary:** The Director of Clinical & Formulary Operations will be responsible for developing and creating clinical and formulary ... clients. + Consult with clients to ensure that overall service needs are met and exceeded. + Analyze rebate...exceeded. + Analyze rebate data to provide recommendations and support for Vertex clients. + Develop and implement clinical… more
- Molina Healthcare (Syracuse, NY)
- …executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and ... with a focus on person-centered and strength-based activities of daily living support needs, community integration and stability goals for all populations and member… more
- Molina Healthcare (Syracuse, NY)
- …Sales Operations will be responsible for operationalizing the Sales Support functions by identifying opportunities and then creating and implementing action ... **Job Description** **Job Summary** The AVP of Sales Operations is a key leadership role directly tied...well-honed critical thinking skills and an action-oriented approach to support Molina initiatives to drive enrollments from a variety… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... Merchandise Operations Department in the development of various merchandising support initiatives. + Perform general administrative support duties as… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION **Job Summary** Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, ... Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician... support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated.… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... information to appropriate stakeholders (internal and external) to ensure payment for services . **Travel** : Limited travel may be required. Travel to healthcare… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Business Management **Experience:** + Required: 3 to 5 years in Pharmacy or Healthcare Operations and Reimbursement **Special Conditions of Employment:** + Drug ... of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... easily + Maintain appropriate documentation of applications and business processes + Support sales operations with business opportunity target analysis and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... **Overview** **Scope of Responsibilities:** The candidate will support the KPH Financial Planning Department and play a key role in the financial planning and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Responsibilities:** The Vice President of Pharmacy Solutions will oversee the day-to-day operations of Vertex. In this role, they will be responsible for developing ... the strategic oversight of Vertex providing operational leadership and business development services to meet and exceed company goals. This individual will also be… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …of multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services , Inc. is a multistate organization and abides by all ... **Overview** **Scope of Responsibilities:** Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under direct… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- … to ensure proper execution in providing clients and members the best possible service and support . Regular onsite meetings with clients will be held to ... relationships + Champion the customer/client at all levels internally + Adaptable to support incoming new sales + Identify needs and requirements to promote Pro… more
- Allied Universal (East Syracuse, NY)
- …our proprietary scheduling platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, ... Allied Universal(R), North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and implement scalable solutions that reduce manual work and optimize operations . **Responsibilities** + Build automated solutions using SQL and Python to ... ensure agreement with claim rejections + Create Power BI and other self- service reporting dashboards for external clients + Provide and analyze dashboard reporting… more
- Molina Healthcare (Syracuse, NY)
- …for retrieving specified information from data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, ... **Job Summary** The Manager, Medical Economics provides support and consultation to the New York Health...related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor… more
- Molina Healthcare (Syracuse, NY)
- …in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services , including 2+ years in a direct or matrix leadership position * ... adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more