- Elevance Health (Latham, NY)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Sedgwick (Albany, NY)
- …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Contract Management Specialist 1/Trainee (NY HELPS) - 63484 Occupational Category Financial, Accounting, Auditing ... Description - negotiate, develop, prepare, review, implement, process, track and provide fiscal and administrative oversight of contracts;- audit and process… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Contract Management Specialist 1, Contract Management Specialist Trainee 1, (NY HELPS) (3 Positions), Box ... Albany Street Address Office of the Chief Financial Officer Contract Administration Unit City Albany State NY Zip Code...of the State Comptroller and other State agencies; * Provide advice and assistance to Department program managers with… more
- CDPHP (Albany, NY)
- …to develop strategy and action plans to meet market growth and medical cost targets. Qualifications: + 5+ years ancillary provider negotiation experience for ... a part of that experience. Negotiation lead for ancillary provider contracts including but not limited to DME, home...assigned specialties. Negotiators are expected to team up with Contract Specialists on strategic Owner of end-to-end process for… more
- Northwell Health (Nassau, NY)
- **Req Number** 146210 Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome ... identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and implementing… more
- Sharecare (Albany, NY)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… 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
- 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
- Lumen (Albany, NY)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- New York State Civil Service (Albany, NY)
- …or program review; and* Planning, developing, managing, or administering programs that provide care and service to adults, children, and/or families in ... or program review; and* Planning, developing, managing, or administering programs that provide care and service to adults, children, and/or families in… 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 ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … 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 ... coding auditor to 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 ... City to be considered. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Ensures contract compliance with client and company guidelines. + Handles financials including… more
- Baylor Scott & White Health (Albany, NY)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- New York State Civil Service (Delmar, NY)
- …may include other state or local agencies, private individuals and provider representatives;* Oversee the maintenance and enhancement of agency resources, including ... is charged with protecting over one million New Yorkers under the care or jurisdiction across six State Oversight Agencies. https://www.justicecenter.ny.gov/ The New… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …field of Vascular and Interventional Radiology and provides a broad range of care to Veterans with complex disease and comorbidities, within a patient centric model. ... Responsibilities The lnterventional Radiologist is charged with delivering the best possible care to our Veterans. This care must be delivered in accordance with… more
- Intermountain Health (Albany, NY)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies,… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… 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 ... manages action plan pursuant to the claim or client contract . + Manages 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