- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment ... Meeting House Lane Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment...* + Meet Regulatory Requirements for pre-employment screenings. + Provide a copy of any required New York State… more
- Mount Sinai Health System (New York, NY)
- …Health Plan auditing setting, or within a hospital's Delegated Enrollment or Managed Care Enrollment Department + Knowledge of NCQA standards (Joint ... plans and Delegated Credentialing. + Coordinates and administers all aspects of provider enrollment , including: + Submission of rosters; reconciliation of … more
- Northwell Health (Lake Success, NY)
- … care /government carriers and others to obtain required credentialing information for government/ managed care enrollment . + Assists the System FPP ... enrollments to ensure accuracy and completeness of the managed care /government applications. + Initiates and tracks enrollment and re- enrollment … more
- Northwell Health (Lake Success, NY)
- … care /government carriers and others to obtain required credentialing information for government/ managed care enrollment . + Assists the System FPP ... for new faculty practice providers with government and faculty practice contracted managed care carriers. + Prepares, sends, and receives correspondence to… more
- City of New York (New York, NY)
- …(hospitals, physician groups and pharmacies), city agencies, client advocates, and MAXIMUS (the state managed care enrollment broker for the managed ... NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the… more
- FlexStaff (New York, NY)
- …Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. Experience in working independently without significant oversight and ... Delivery serves as a valuable resource to the Intake, Enrollment , and Care Delivery teams by documenting...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- CenterLight Health System (Ridgewood, NY)
- …+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and ... Delivery serves as a valuable resource to the Intake, Enrollment , and Care Delivery teams by documenting...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- Molina Healthcare (New York, NY)
- …eligible recipients for enrollment into Government Programs such as Medicaid/Medicaid Managed Care , Child Health Plus and Essential Plan. Additionally, the ... by management. + Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care , Child Health… more
- Molina Healthcare (Stamford, CT)
- …Experience** * 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience ... for MHI Service Operations, including: Claims, Configuration Information Management, Enrollment , Contact Center Operations, IT, Provider Configuration… more
- FlexStaff (New York, NY)
- …charts for quality and address any deficiencies. In collaboration with the Transitions in Care Team, provide care management services across sites and ... diagnostic & treatment clinic preferred. Customer Service experience is required. Managed long-term care insurance experience beneficial. Minimum of one… more
- CenterLight Health System (Ridgewood, NY)
- …for quality and address any deficiencies. + In collaboration with the Transitions in Care Team, provide care management services across sites and communicate ... diagnostic & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of one… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) assures the operational integrity of the Medicaid ... Managed Care program in the City of...as, government agencies, facilitated enrollers, client advocates and the enrollment broker/contractor NY Medicaid CHOICE/MAXIMUS. MCCS is recruiting for… more
- Mount Sinai Health System (New York, NY)
- …working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial ... + 7 years minimum, higher preferred, in analytics development expertise, preferably in health care , or for a health provider , health plan or accountable care… more
- Mount Sinai Health System (New York, NY)
- …working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial ... degree preferred. + 5 years minimum in analytics development expertise, preferably in health care , or for a health provider , health plan or accountable care… more
- Centene Corporation (Hempstead, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing...GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related… more
- Robert Half (New York, NY)
- …face the future. Protiviti and our independent and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...Financial Services practice is widely recognized as a leading provider of consulting services across the three lines of… more
- FlexStaff (Amityville, NY)
- …for quality and address any deficiencies. + In collaboration with the Transitions in Care Team, provide care management services across sites and communicate ... care , nursing home experience, diagnostic & treatment clinic preferred. + Managed long-term care insurance experience beneficial. + Minimum of one (1+)… more
- City of New York (New York, NY)
- …multiple active Client Identification Numbers (CINs), with the goal of ending individuals' enrollment in multiple Medicaid Managed Care plans. Additionally, ... case record entries and the date of changes or occurrences. Oversee the projects managed by PAAIIs under your supervision, ensuring they review and provide … more
- Mount Sinai Health System (New York, NY)
- …work within the New York City based Mount Sinai Health System, where you will provide high quality care for patients admitted to Mount Sinai Hospital. General ... Neurology is recruiting for a Part-time/Per Diem Neuro-oncologist to care for patients admitted to the Mount Sinai Hospital.**...not included in this role, as these are separately managed by our world-class Neuro Hospitalist and Stroke Teams.… more
- CenterLight Health System (Flushing, NY)
- …Patient Services (DPS) for the LHCSA and coordinates the multi-disciplinary integrated care in the community, Day Health Center, Diagnostic & Treatment Center, and ... throughout the continuum of care . Coordinates with all Managers to ensure all metrics...Managers to ensure all metrics logs are complete and provide support and assistance as required. JOB RESPONSIBILITIES: IDT… more