- CVS Health (Albany, NY)
- …plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal ... limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists… more
- Humana (Albany, NY)
- …Bachelor's degree + 5+ years of experience in network development, contracting, and/or network management or provider relations experience. + 2+ years of ... community and help us put health first** The Advisor, Medicaid Network Strategy will be accountable for...subject matter expert to assist business development in developing provider network request for proposal (RFP) responses.… more
- Humana (Albany, NY)
- …+ 2+ years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + 2+ years of prior ... caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers… more
- Humana (Albany, NY)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations . This design ... accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and… more
- HealthEdge Software Inc (Albany, NY)
- …payment integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting, payment/policy configuration, provider relations , ... life cycle/workflows, network contracting, payment/policy related configuration, provider relations , medical management, medical economics, audit,… more
- Cardinal Health (Albany, NY)
- …care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts and payer relation ... + Direct the daily operations of managed care contracting and payer relations to include contracting activities such as focusing on rate strategies, maintaining… more
- Humana (Albany, NY)
- …**Required Qualifications** + Bachelor's degree or higher in journalism, communications, public relations or relevant field + 10+ years of recent experience in ... be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet… more