- Honeywell (Pittsford, NY)
- The Managed Services Leader will...demands. + Lead and mentor a high-performing managed services team, providing guidance, support, and ... support, and engineering teams to ensure seamless integration of managed services with core product offerings. + Analyze service delivery metrics to… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- MVP Health Care (Rochester, NY)
- …To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services ** , to join #TeamMVP. If you have a passion for clinical excellence ... five years of experience working with children in BH managed care settings or BH clinical settings (at least...levels of care within NYS addiction and mental health services including knowledge of NYS child serving systems. +… more
- Deloitte (Rochester, NY)
- …help our clients navigate the ever-changing threat landscape. Through powerful solutions and managed services that simplify complexity, we enable our clients to ... leading clients for deploying and advising in Entra ID services . + Lead business development activities such...deployments. + Oversee technical support for ENTRA ID cyber services and resolve service -related issues through research… more
- Molina Healthcare (Rochester, NY)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services , including 2+ years ... with other operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads… more
- East House Corporation (Rochester, NY)
- …East Houseis a leading organization committed to providing comprehensive support and services to individuals in transition to more independent community living. We ... You will work closely with clients to develop individualized Service Plans and support them in achieving their goals...them in achieving their goals and objectives. Key Responsibilities: . Services That Address Client Goals: o Partner with each… more
- Deloitte (Rochester, NY)
- …+ Analyze HRIS and other workforce data to identify opportunities and inform leader decision-making. + Lead and manage project teams and workstreams to ... with executive visions using innovative frameworks that enhance HR service delivery, drive operational excellence, and reimagine the HR...and/or MBA in a related specialization + Led and managed teams of 3 - 10 members on multiple… more
- Rochester Housing Authority (Rochester, NY)
- …ED is accountable for creating processes and procedures that promote safe, well- managed , and mission-aligned housing services . - Oversee housing operations, ... thriving communities through empowerment, strategic partnerships, and high-quality support services . Position Summary The Executive Director (ED) is a visionary… more
- East House Corporation (Rochester, NY)
- …House is a leading organization committed to providing comprehensive support and services to individuals in transition to more independent community living. We are ... You will work closely with clients to develop individualized Service Plans and support them in achieving their goals...them in achieving their goals and objectives. Key Responsibilities: Services That Address Client Goals: o Partner with each… more
- Elderwood (Monroe County, NY)
- …accessing necessary covered services , providing referrals and coordinating other medical services in support of their member centric service plan. The ... members with obtaining needed medical, social, educational, psychosocial, financial, and other services , irrespective of whether the needed services are covered… more
- CaterTrax (Rochester, NY)
- …site documentation. + Monitors progress of development on all sites. + Assists Managed Services with projects as requested. + Participates in team meetings ... you on the team. Job Summary: Reporting to the Client Support Team Lead , the Client Support Specialist is responsible for providing excellent customer service… more
- Molina Healthcare (Rochester, NY)
- …+ Supports executive strategy development, vision and direction for enterprise managed long-term services and supports (MLTSS) activities. Demonstrates ... executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and… more
- Centene Corporation (Fairport, NY)
- …High School diploma or GED, required. 2 to 5 years prior experience in managed care, sales, customer service or related experience preferred. Basic computer ... The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an assigned territory… more
- Molina Healthcare (Rochester, NY)
- …adequacy, issue escalations and JOCs on exception, including standardized fee for service and other core payment method contracts with predefined, common programs. ... standardized contract templates/amendments, including but not limited to Fee for Service and Basic Alternative Payment Methods including Pay for Performance. *… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, ... + Manages more complex assignments; cross-trained to review various levels of care and/or services . + Participate in committees and lead when required Level III… more
- Molina Healthcare (Rochester, NY)
- …policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state, and local laws ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction… more
- Molina Healthcare (Rochester, NY)
- …and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. ... case management programs for mental health and chemical dependency services . Works closely with the Regional Medical Directors to...portions of state contracts * Assist the BH MD lead trainers in the development of enterprise-wide teaching on… more
- Molina Healthcare (Rochester, NY)
- …policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state, and local laws ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction… more
- East House Corporation (Rochester, NY)
- …to lead self-directed lives and realize their full potential. Services That Address Client Goals + Comprehensive Care Management, Care Coordination, Integration ... set. + Identifies service gaps and collaborates with supervisor to provide services to meet changing demographics and needs of clients. + Design and conduct a… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500180 Social Work - Adult Services Work Shift: UR - Day (United States of America) Range: UR URCE 211 ... offers patients and their families comprehensive inpatient and outpatient services . It is home to one of upstate New...largest blood and marrow transplant program and the region's leader in cancer research. The Wilmot Cancer Institute maintains… more