- Elevance Health (Latham, NY)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Highmark Health (Albany, NY)
- …meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative ... markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk...and workflow across the continuum of variability in primary care and experience in managing provider and… more
- Elevance Health (Latham, NY)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- CVS Health (Albany, NY)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Humana (Albany, NY)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more
- Humana (Albany, NY)
- …completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. ... Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and… more
- New York State Civil Service (Albany, NY)
- …and the State Education Department (SED) and function as the lead on specific cost reporting issues.* Provide guidance in the testing and development of changes ... Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst...a wide range of OMH projects, including evaluation of provider fiscal health prior to contract renewals… more
- Option Care Health (Albany, NY)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- HomeSafe Alliance (Albany, NY)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
- IMSolutions, LLC (Albany, NY)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Albany Medical Center (Albany, NY)
- …responsible for supporting system-wide service line reporting, financial analysis and managed care contract valuation and analysis for Albany Med Health System. ... all the contractual terms and rates for our managed care contracts in addition to government payor modeling. They...Provide technical support for service line reporting and contract analysis modules in Strata for AMHS. + Supporting… more
- Huron Consulting Group (Albany, NY)
- …clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services ... within a consulting firm setting with a focus on cost of care , workforce management, and/or supply...+ Negotiate with vendors to achieve better pricing and contract terms + Implement inventory management strategies to reduce… more
- Humana (Albany, NY)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... to (suggest: review inpatient hospital claims for proper reimbursement) handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Intermountain Health (Albany, NY)
- …case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies, ... regulatory compliance tracking. Leads the dispute resolution process on contract items and ensures a high level of ...sourcing and / or category management within the health care industry. - and - Healthcare product knowledge **Physical… more
- Elevance Health (Latham, NY)
- …participating in the member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's care plan ... member's needs, with the goal of optimizing member health care across the care continuum. **How you...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. +… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... administers action plan pursuant to the claim or client contract . + Administers subrogation of claims and negotiates settlements....not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** Our Government Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database ... and effectively allocate/reallocate database resources for optimal configuration, performance, and cost . + Support multiple services and multiple databases of medium… more
- Mitsubishi Chemical Group (Albany, NY)
- …at the very heart of why we are in business. We will continue to provide solutions for the issues of society consistent with the aims of the international ... portfolio for the regional organization, enabling the most reliable and cost -effective purchasing experience possible in North America (leveraging economies of… more