- Molina Healthcare (Albany, NY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Albany, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Albany, NY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Albany, NY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Albany, NY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Whitney Young Health Center (Albany, NY)
- Director of Network Operations and Security (Req 101000) Albany, NY (http://maps.google.com/maps?q=4+Airline+Drive+Albany+NY+USA+12205) Apply Description Be a ... of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible...commuter benefits and more! GENERAL RESPONSIBILITIES: The position of Director of IT Network Operations and Security… more
- Trinity Health (Albany, NY)
- …to leadership on programmatic investment areas. + In collaboration with the provider engagement/ network development team, support efforts to expand and ... referrals. + Lead and collaborate on efforts to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a… more
- Datavant (Albany, NY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Acxiom (Albany, NY)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… more
- New York State Civil Service (Albany, NY)
- …in major IT technologies, such as data storage systems (SANs), database management and architecture, IT security, network infrastructure, and high-performance ... NY HELP No Agency Attorney General, Office of the Title Deputy Director of EISG: Position for Expr. IT Manager(6406) Occupational Category Legal Salary Grade NS… more
- Datavant (Albany, NY)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- NYSERDA (Albany, NY)
- …forecasts across multiple programs and teams, develop reliable forecasting methods and provide guidance to program management . + Develop strategies and plans ... the clean energy transition. Job Overview NYSERDA seeks an individual at an Associate Director or Director level who is enthusiastic about advancing building and… more
- Cardinal Health (Albany, NY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Pfizer (Albany, NY)
- **ROLE SUMMARY** The ** Director , HV&E, Solid Tumors** will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. ... therapy being studied for the treatment of multiple solid tumors. The HV&E Director will be responsible for developing and executing against the global evidence… more
- Highmark Health (Albany, NY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Devereux Advanced Behavioral Health (Red Hook, NY)
- …then consider joining our Devereux Advanced Behavioral Health team! **Being** ** Director of Admissions, Marketing & Business Development** **has its Advantages** As ... the Director of Admissions, Marketing & Business Development at Devereux,...business with the primary goal of developing a referral network to increase market share. This position will perform… more
- Molina Healthcare (Albany, NY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Albany, NY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Albany, NY)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more