- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- The New Jewish Home (Bronx, NY)
- …full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is responsible for resolving managed care denied ... underpaid claims timely. Responsibilities + Must be able to understand managed care contracts, create project spreadsheets for submission to payers, write… more
- CAIPA MSO LLC (New York, NY)
- Managed Care Contract Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description As a Managed Care ... and internal departments to communicate and implement the terms of the managed care contracts *Job Responsibilities coordinates and support contracting… more
- Novo Nordisk (Yorktown Heights, NY)
- …of patients with obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and ... identify and leverage business opportunities + Analyze impact of managed care in the territory and its...PLEASE INCLUDE ALL POSITIONS IN JOB FAMILY * Obesity Care Specialist 1 - $87,000 to $106,000… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Urgent Care -New York Eye and Ear Infirmary of Mount Sinai-Full Time, 4pm to 12am**… more
- Staffing Solutions Organization (New York, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... clients and the people they serve. **Senior Healthcare Program Specialist - NYC** **DPDM - 1083** **Summary** The Bureau...NYC** **DPDM - 1083** **Summary** The Bureau of Social Care and Community Supports works to integrate health and… more
- RWJBarnabas Health (Elizabeth, NJ)
- …assessment, planning and intervention + At least 1 year of experience with managed care authorization and review process Scheduling Requirements: + Shift ... Behavioral Specialist , Adult Psych (AP)Req #:0000150502 Category:Behavioral and Mental...+ Responsible for documentation and data entry on all managed care cases including timely entry on… more
- New York State Civil Service (Manhattan, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1, Investigative Specialist Trainee 1, Investigative Specialist Trainee 2, Box ... Office of the Professions is seeking candidates for an Investigative Specialist 1 positions in the Office of Professional Discipline-Investigations (OPD). Under… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... Hearings in person with the Grievance and Appeals' RN Specialist and presents arguments in defense of the appeals....area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written… more
- New York State Civil Service (West Haverstraw, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- Atlantic Health System (Morristown, NJ)
- …act as a liaison between all Atlantic entities and our Workers Comp Managed Care Partners/Workers Comp insurance carriers PRINCIPAL ACCOUNTABILITIES: + The ... Workers' Compensation Specialist will act as a liaison between the entry...processes are followed. + Works alongside Corporate Health and Managed Care to assist in any other… more
- New York State Civil Service (Thiells, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... the benefits of an overall specializedprogram of careThe Medical Specialist 2 will provide primary care to...System (ERS), which is recognized as one of the best- managed and best-funded public retirement systems in the nation.… more
- New York State Civil Service (Tarrytown, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... Code 10591 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- New York State Civil Service (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... Code 11428 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Prime Healthcare (Denville, NJ)
- …Specialist , Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications Education and Work Experience… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications EDUCATION, EXPERIENCE, TRAINING… more
- New York State Civil Service (New Windsor, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- New York State Civil Service (Nyack, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- Elevance Health (New Hyde Park, NY)
- …and Spanish is strongly preferred. + Service delivery coordination experience in a managed care setting preferred. + Experience working with the Medicaid ... **Medical Management Specialist l** **Location** : This position will work...population is preferred. + LTSS or managed care organization experience is preferred. +… more