- Merck & Co. (Rahway, NJ)
- …financial transparency.- He/she will provide specialized negotiation expertise and contract term management for the Capital program.The successful implementation of ... compliance and maximizing our leverage for supplier value.Ensure suppliers are managed through the Supplier Relationship Management (SRM) program and ensure all… 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
- Axis (New York, NY)
- …or reinsurance. + 5+ years experience with Employer Stop Loss, Fully Insured, and Managed Care claims adjudication. + A firm understanding of insurance and ... request for candidates taking part in the selection process. Reinsurance Claim Specialist Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims… 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
- Molina Healthcare (Yonkers, NY)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 3 - ... 5 years provider contract negotiation experience in the health care ... field including, but not limited to, provider's office, managed care organization, or other health … 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 - Albany, NY and NYC** **OHIP Executive Office...education and training for health, behavioral health and social care workers throughout New York State. The program is… more
- Hackensack Meridian Health (Hackensack, NJ)
- …appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate + Utilization Review ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- Merck (Rahway, NJ)
- …financial transparency. He/she will provide specialized negotiation expertise and contract term management for the Capital program. The successful implementation ... and maximizing our leverage for supplier value. + Ensure suppliers are managed through the Supplier Relationship Management (SRM) program and ensure all stakeholders… more
- Molina Healthcare (Yonkers, NY)
- …markets and expansion opportunities. * Provides training and guidance as needed to the Contract Managers and Contract Specialist (s). * Helps develop and ... **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Management & Operations with an… more
