- Molina Healthcare (Syracuse, NY)
- …improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Manages member services operations. + Ensures compliance with state and ... **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and… more
- Molina Healthcare (Syracuse, NY)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human … more
- Molina Healthcare (Syracuse, NY)
- …annually or as directed by the Centers for Medicare and Medicaid Services . * Trains grievance and appeals staff, customer/ member services department, ... Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: SUNY Upstate is seeking a highly motivated Advance Practice Provider Manager to join Upstate Advanced Practice Service Team whose role will have a ... & coordination of care via a full range of services that will improve quality of patient care +...team. As an APP, you will be an integral member of the multidisciplinary healthcare team, demonstrating professionalism, leadership,… more
- Elevance Health (East Syracuse, NY)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit ... and skill development. **_National Government Services_** _is a proud member of Elevance Health's family of brands. We administer...Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- Molina Healthcare (Syracuse, NY)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not ... management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of… more
- Elevance Health (East Syracuse, NY)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit ... and skill development._ **_National Government Services_** _is a proud member of Elevance Health's family of brands. We administer...Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- Elevance Health (East Syracuse, NY)
- …Medical Review of Medicare is preferred. + Experience managing aspects of Medicare services or billing (MCS), and a thorough understanding of the regulatory ... pm EST or CST. Hours are flexible. **National Government Services ** is a proud member of Elevance... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal… more
- Elevance Health (East Syracuse, NY)
- …skill development. **Hours: Monday through Friday 8 am - 5 pm EST.** **National Government Services ** is a proud member of Elevance Health's family of brands. We ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal...as to whether a claim meets the benefits the member carries. **H** **ow** **you will make an impact:**… more
- Molina Healthcare (Syracuse, NY)
- …activities. + Works with Health Care Services (eg, with data manager , case managers, etc.) on member -centered interdisciplinary teams. + May prepare ... and statin starts), Adherence follow-up efforts to improve Part D STARS, Medicare /MMP LOB. Molina Pharmacy Services /Management staff work to ensure that… more
- Elevance Health (East Syracuse, NY)
- …of Operation:** Monday through Friday, 8:30 AM to 5:00 PM EST **National Government Services ** is a proud member of Elevance Health's family of brands. We ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal...I** is responsible for handling or responding to customer service issues. **How you will make an impact** +… more
- Trinity Health (Syracuse, NY)
- …collaboratively managing the progression of patient's care with the Clinical Care Manager , physician and health care team utilizing evidence based best practice ... a resource to the staff, patients, and families. Staff member in this position work within and contribute to...provides ed resources regarding choice, cost and scope of services provided, ie, Dialysis, Pharmaceutical, home infusion under the… more