- RWJBarnabas Health (Elizabeth, NJ)
- Managed Care Specialist , OP Adult Partial HospitalReq #:0000172548 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:Trinitas ... Required: + High School Diploma required and one-year related experience required + Managed Care and Insurance experience required Preferred: + Passport software… more
- CAIPA MSO LLC (New York, NY)
- …professionals are credentialed and are participating in company contracted managed care organizations (MCOs). The Credentialing Specialist primary job is to ... Credentialing Specialist New York, NY Description The Credentialing ...within the CAIPA Network. Provides integral support to healthcare operations by enabling timely onboarding of healthcare providers. Responsibilities… more
- Guardian Life (New York, NY)
- The RIA Operations Specialist will serve as the expert on all aspects of our managed account model management and trading platform, as well as all associated ... custody, clearance, and order execution processing. The Operations Specialist will intimately understand how our Portfolio Administration Technologies,… 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)-Adult Primary Care ...are able to advance professionally. Explore more about this opportunity and how you can help us write a… more
- Staffing Solutions Organization (New York, NY)
- Senior Healthcare Program Specialist - Social Care & Community Supports New York, NY, USA Req #976 Wednesday, October 23, 2024 Staffing Solutions Organization ... 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… more
- Organon & Co. (Jersey City, NJ)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… 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 ... appeals or related area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written communication skills required +… more
- New York State Civil Service (New York, NY)
- …making that leads to improved delivery of mental health services in a fully managed care system.Consults on policy and programmatic oversight and advising staff ... of permanent competitive or 55-b/55-c service as a Mental Health Program Specialist 3 (Clinical), M-1/G-25.Provisional Opportunity :Candidates do not need to be… more
- New York State Civil Service (New York, NY)
- …that leads to improved delivery of mental health services in a fully managed care system.Collaborate with other state agencies around hospital treatment and ... NY HELP Yes Agency Mental Health, Office of Title Mental Health Program Specialist 2 Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit… more
- New York State Civil Service (Manhattan, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 2 (Professional Conduct), Box OP-1785/21553 Occupational Category No Preference Salary ... one year of permanent non-competitive service as an Investigative Specialist 2 (Professional Conduct).Non-Competitive Appointment: For non-competitive appointment, candidates… more
- Amazon (New York, NY)
- Description The Worldwide Specialist Organization (WWSO) is part of Amazon Web Services (AWS) Sales, Marketing, and Global Services (SMGS), which is responsible for ... AWS ideas into multi-billion-dollar businesses. WWSO teams include business development, specialist and technical solutions architecture. As part of WWSO, you'll… more
- Elevance Health (New Hyde Park, NY)
- …Spanish, Bengali, or Korean 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
- International Rescue Committee (New York, NY)
- …rules. + Other tasks as needed. Team Collaboration + The Data and Reporting Specialist will be line- managed by the Children's Legal Services' Data Coordinator. ... Requisition ID: req55275 Job Title: Data & Reporting Specialist , Children's Legal Services Sector: Legal Employment Category:... will provide data and reporting support with Influx Care Facility (ICF) cases for unaccompanied children released from… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. ... **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the… more
- New York State Civil Service (Brooklyn, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care , Human/Social Services ... in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if...receive the benefits of an overall specialized program of care . Medical Specialists 2 serve as senior practicing specialists,… more
- New York State Civil Service (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 (NY HELPS) Occupational Category Health Care , Human/Social Services ... in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if...receive the benefits of an overall specialized program of care . Medical Specialists 1 serve as junior practicing specialists.… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1, Box OP-1777/21416 Occupational Category No Preference Salary Grade 18 Bargaining Unit ... must have one year of permanent non-competitive service as an Investigative Specialist 1.Non-Competitive Appointment: Candidates must have six years of experience in… 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 ... of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage...recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity… more
- Staffing Solutions Organization (New York, NY)
- Senior Healthcare Program Specialist , New York City New York, NY, USA Req #990 Monday, October 7, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of ... 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… more
- T. Rowe Price (New York, NY)
- …and in the future. The work we do matters. We invite you to explore the opportunity to join us and grow your career with us. POSITION PURPOSE: The primary role of ... the Fixed Income Investment Specialist (IS) - Insurance Solutions is to partner with...working knowledge of investment strategies and tactics used to managed insurance assets. + Demonstrated track record of success… more