- 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
- 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
- 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
- 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
- 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
- PSEG (Newark, NJ)
- …with portfolio reporting. Additionally, assist and oversee daily operation of contract staff augment resources performing cost control function. Successful ... 500 company, as well as the attention, camaraderie, and care for one another you might typically associate with...to increase efficiencies. + Enhance oversight, and increase project cost data quality + Provide a monthly… 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
- PSEG (Newark, NJ)
- …processes adherence and quality for variance analysis, forecasting as well as a comprehensive cost workbook. Review contract controller work as well as assist in ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that...500 company, as well as the attention, camaraderie, and care for one another you might typically associate with… 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
- Callen-Lorde Community Health Center (New York, NY)
- …patient-centered care . In this role, you will oversee caseloads, provide clinical supervision, and coordinate care across multiple disciplines to ... SUPERVISOR, CARE COORDINATION Job Details Job Location Callen-Lorde Community...Managers, providing guidance, support, and performance evaluations. + Case Management: Provide direct case management services, including intake, assessment, treatment… more
- Callen-Lorde Community Health Center (Bronx, NY)
- SUPERVISOR, CARE COORDINATION Job Details Job Location Callen-Lorde Community Health Center - Bronx - Bronx, NY Position Type Full Time Education Level High School ... Salary Range $67,000.00 - $67,000.00 Salary/year Job Shift Day Job Category Health Care Description About Us: Callen-Lorde is the global leader in LGBTQ+ healthcare.… more
- City of New York (New York, NY)
- …requisitions and various internal systems for managing procurements. - Draft and maintain Cost Manual including PASSPort procedures. - Provide Training for New ... services and community supports. ACS manages community-based supports and foster care services and provides subsidized childcare vouchers. ACS child protection staff… more
- Care Plus NJ (Paramus, NJ)
- …New Jersey has been a leader in mental health and a pioneer in integrated care in Northern New Jersey for more than 45 years. CarePlus strives for excellence in ... community-based services. Our goal is to offer affordable, accessible, and holistic-centered care that empowers individuals to reach their full potential and enhance… more
- Envista Holdings Corporation (Mahwah, NJ)
- …our team and oversee the relationship and performance of our IT Manage Service Provider and various vendors and partners. You will be reporting to the Director of ... meetings. This manager role will have responsibility for overall IT Vendor contract , performance, relationship and risk management as well as ensuring that they… more
- Burns & McDonnell (Morristown, NJ)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple project simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more