- Molina Healthcare (New York, NY)
- …care , or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Molina Healthcare (New York, NY)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Utilizes standardized contract ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
- CVS Health (Trenton, NJ)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Candidates must be commutable distance ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Centene Corporation (New York, NY)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- UMB Bank (Trenton, NJ)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Molina Healthcare (New York, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Cayuse Holdings (Trenton, NJ)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- BlackRock (New York, NY)
- …lead regular business and performance reviews with key providers + Support index provider negotiations to achieve cost savings and strategic benefits _Skills:_ + ... **About this role** **Vice President, Global Index Provider Strategy |** **Global Product Solutions** **About this role** The Global Product Solutions (GPS)… more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- City of New York (New York, NY)
- …justice services and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care vouchers. ACS child ... entering the New York City's juvenile justice system, (b) provide therapeutic treatment and services to youth in our...therapeutic treatment and services to youth in our custodial care , and (c) help juveniles access the tools they… more
- Molina Healthcare (New York, NY)
- …with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with ... systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with … more
- Merck (Rahway, NJ)
- …the sourcing platform. In addition, will execute basic negotiations of applicable contract terms as directed. In addition to providing primary expertise in Capital ... planning, engagement management and performance improvement the senior specialist will provide direct guidance, planning and supervision. The selected candidate will… more
- Weill Cornell Medical College (New York, NY)
- …practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, ... Title: Subawards Manager - Contract Negotiation Location: Midtown Org Unit: Contracts Work...Act in the capacity of subject matter expert to provide staff w/guidance on and interpretation of Federal, State,… more
- VNS Health (Manhattan, NY)
- …What You Will Do + Assists the Manager in analyzing and validating managed care claims and comp grids against provider contracts, member eligibility, benefit ... data across health plans in support of ensuring payment integrity and cost containment. Identifies anomalous utilization patterns, investigates cost containment,… more
- Qualus (South Plainfield, NJ)
- **Position Overview** Power your future with Qualus as a Senior Cost Engineer providing cost management services, including budgeting, bid management, cost ... forecasting and reporting, budget management and control, change management, contract administration, close-out administration, procurement management, earned value management,… more
- Northwell Health (New York, NY)
- **Req Number** 144964 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
- Hackensack Meridian Health (Edison, NJ)
- …includes: + ** Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its entities (hospitals, wholly owned ... provide executive oversight for all aspects of managed care contracting, including fee-for-service and value-based arrangements, driving innovation in payment… more
- Centene Corporation (Trenton, NJ)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more
- Centene Corporation (New York, NY)
- …(including behavioral health, and social needs) to provide quality, cost -effective healthcare outcomes. Develops a personalized care plan/service plan as ... as appropriate, between the member and/or family and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + May precept clinical new hires by… more
- Option Care Health (Trenton, NJ)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more