- Staffing Solutions Organization (Albany, NY)
- …under New York's 1115 Waiver Amendment. Tasks include: + Act as a liaison between the Social Care Networks and other stakeholders. This collaborative ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Northern Rivers Family Services (Albany, NY)
- Managed Care Liaison Job Details Job Location Albany-Academy Main-NPCS - Albany, NY Position Type Full Time Education Level High School/GED Salary Range ... Travel Percentage Up to 50% Job Shift Day Job Category Nonprofit - Social Services Description Managed Care liaison As a Managed Care Liaison ,… more
- Molina Healthcare (Albany, NY)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
- Molina Healthcare (Albany, NY)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this… more
- Molina Healthcare (Albany, NY)
- …SKILLS & ABILITIES** : + 3 or more years in case, disease or utilization management; managed care ; or medical/behavioral health settings. + 3 or more years in a ... management. + Participates in committees and/or workgroups as a liaison between the training team and workgroup to ensure...training, auditing and/or quality management role in a managed care environment. + Experience working independently… more
- New York State Civil Service (Albany, NY)
- …for all functions within OHIP related to rate setting, including fee for service and managed care rates. This division has full oversight of the Medicaid budget, ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) - 61153 Occupational...is the liaison with the Division of Budget and manages the… more
- Cardinal Health (Albany, NY)
- …concepts necessary to ensure contract compliance. Has the ability to understand managed care trends and competitive positioning. + Exhibits strong financial ... acumen and logical decision-making skills in the general business environment. Validates managed care contracts through review and understands and demonstrate… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals… more
- Molina Healthcare (Albany, NY)
- …years of experience in Healthcare Administration **Required Experience** * 7 years of managed care experience * Previous management experience of 5 years or ... and assists in the prioritization of approved initiatives/projects. * Primary liaison between regulatory auditors and corporate operations business units, leadership… more
- CDPHP (Latham, NY)
- …to work with our Medical Director team. Great opportunity to get involved in managed care ! QUALIFICATIONS: + MD or DO required. Additional advanced degree(s) ... advisory committees, provide leadership to, and serve as a liaison between the physician community and the Plan's management....practice experience required. + Minimum of three (3) years managed care or practice management is preferred.… more
- Molina Healthcare (Albany, NY)
- …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
- Molina Healthcare (Albany, NY)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
- Staffing Solutions Organization (Albany, NY)
- …should have experience and an understanding of Medicaid and Medicaid services, including Managed Care and billing practices **Basic Qualifications:** + 8 years ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Cardinal Health (Albany, NY)
- …and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and ... and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct errors as… more
- New York State Civil Service (Albany, NY)
- …position include, but are not limited to:* Serve as the primary or co- liaison to a portfolio of assigned school(s) and districts;* Review annual Continuation Plans ... state-appointed monitors to effectively implement State Monitor legislation;* Function as P-12 liaison to the Board of Regents (BOR) office by managing the… more
- Lumen (Albany, NY)
- …inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management ... work an Eastern Standard Time schedule. **The Main Responsibilities** + Direct liaison between the customer and Lumen Government Services (Contract Program Office,… more
- New York State Civil Service (Albany, NY)
- …more unique or complex support needs of a given person within a foster care or other institutional setting.. Liaison with both voluntary providers and other ... Developmental Disabilities, Office for Title Associate Psychologist Occupational Category Health Care , Human/Social Services Salary Grade 23 Bargaining Unit PS&T -… more
- Centene Corporation (Latham, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... 8:30am-5:00pm. Mileage reimbursement and all equipment provided. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of… more
- Molina Healthcare (Albany, NY)
- …in a care management, utilization management, behavioral health, medical, or managed care setting, or equivalent combination of relevant education and ... Responsible for implementation and training delivery for utilization management, care management, long-term services (LTSS), behavioral health, and other applicable… more
- Molina Healthcare (Albany, NY)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
