- 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
- Hackensack Meridian Health (Edison, NJ)
- …positive change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance ... under the direction of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing operational, financial and services… more
- Staffing Solutions Organization (New York, NY)
- …making you an integral part of the team. + Provide technical assistance, contract management, and performance monitoring of Social Care Networks. One 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
- New York State Civil Service (Garden City, NY)
- NY HELP Yes Agency Education Department, State Title Administrative Specialist 1, Administrative Specialist Trainee 1, Administrative Specialist Trainee 2, ... and Continuing Education Services (ACCES) is seeking candidates for an Administrative Specialist 1 position in the Garden City District Office. This office assist… 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
- Weill Cornell Medical College (New York, NY)
- …a timely manner. + Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. + Participates in annual and ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...and medical necessity reviews. + Researches and interprets payer contract terms and compiles necessary supporting documentation templates for… more
- Northwell Health (New York, NY)
- …to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing, ... managed care participation, claims payment, demographic changes, referrals, and accessibility....assist providers with the completion of applications for network contract offerings; monitors applications and follows-up as needed. +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. 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
- Mount Sinai Health System (New York, NY)
- …cycle, including pre-award budget development, post-award monitoring, program sub- contract management, and grant closeout procedures. Provides technical assistance ... guidance in the preparation, submission, processing and management of research grants, contract proposals, awards and all agreements for Research teams within the… more