- Molina Healthcare (Albany, NY)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... Behavioral Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that...Based Relationship Contracts . * Develops and maintains provider contracts in contract management… more
- Highmark Health (Latham, NY)
- …:** **JOB SUMMARY** This job is the primary liaison between strategically aligned provider groups in the Highmark Network. The incumbent will be responsible for ... cultivating relationships with these large, complex provider groups and entities, including ancillary provider ...physician network; and work collaboratively with the providers that contract into the programs to reinforce and improve quality,… more
- Highmark Health (Albany, NY)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement.… more
- Highmark Health (Albany, NY)
- …growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted business partner, ... personnel and related entities supporting core functions of Medicaid and CHIP contracts . The position actively manages the day-to-day operations of the Medicaid… more
- CenterWell (Albany, NY)
- …manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance, training, and ... ACO REACH program and managing ACO participation for CenterWell's wholly owned provider group segment. This position requires an in-depth understanding of the… more
- Equinox, Inc (Albany, NY)
- …and fiscal viability of the program in the absence of the Program Manager . Essential Duties and Responsibilities: + Establishes and promotes program philosophy and ... and oversight of the program in absence of Program Manager . + Maintain a caseload of program participants. +.... + Maintain a caseload of program participants. + Provide individual intake interviews, assessments, recovery planning and … more
- New York State Civil Service (Menands, NY)
- …programs. Determines reason for case closure and renders evaluation of results.- Provide direct counseling and job placement services to claimants in the absence ... field.*Related fields of study include the following: Addictions Counseling, Behavioral Health, Behavioral Science, Blindness Rehabilitation, Child/Family… more
- Sharecare (Albany, NY)
- …high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and all other members of the health care team to support appropriate ... acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines. A Clinical… more
- Highmark Health (Albany, NY)
- …**JOB SUMMARY** We're looking for a highly experienced Senior Technical Product Owner/ Manager to drive the technical vision and delivery of critical data governance ... advanced attribute-based access control (ABAC), observes data quality through data contracts , and automates the integration of this ecosystem. Initially, you'll… 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 to meet ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. +… more