- Excellus BlueCross BlueShield (Buffalo, NY)
- …the guidance of VP Network Management, this role is responsible for assigned provider contracting and reimbursement and recruitment. Meets customer needs ... Masters degree is preferred. + Familiarity with various risk-based and non-risk-based provider reimbursement methods, physician / ancillary / and hospital … more
- Molina Healthcare (Buffalo, NY)
- …requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains ... to act as a liaison between Finance and Network Contracting as well as other external teams. + Must...+ Experience working on Managed care analytics and healthcare reimbursement models is required. + Must be able to… more
- Kaleida Health (Buffalo, NY)
- …develops and maintains operational policies for the department and assures regulatory compliance is a priority. Specifically, develops strategies and tactics to ... between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting , and hospital departments and leadership to promote effective clinical… more