- 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
- 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
- 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
- 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
- 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
- City of New York (New York, NY)
- …service and economic needs to assist them in achieving self-sufficiency. They provide various programs and services such as temporary Cash Assistance (CA), ... Supplemental Nutrition Assistance Program (SNAP), child care , eviction prevention services, adult protective services, job training, employment support, domestic… more
- Robert Half Technology (Woodbridge, NJ)
- …our planning system. The ideal candidate will have hands-on experience in revenue and cost planning, profit & loss (P& L) planning, and workforce cost planning. ... and align planning logic with organizational needs. . Develop and optimize revenue, cost , and P& L planning models, ensuring accuracy and efficiency. . Oversee data… more
- Parsons Corporation (New York, NY)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... from our deep pool of talent will support this new position to provide our clients with quality designs that incorporate innovation and are delivered on… more
- Molina Healthcare (New York, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Axis (Red Bank, NJ)
- This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client ... assist in mitigation of claims utilizing a suite of cost containment services. + Collaborate with other team members,...experience with Employer Stop Loss, Fully Insured, and Managed Care claims adjudication. + A firm understanding of insurance… more
- Sedgwick (New York, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts as second...of the appeal. + Reviews reserve amounts on high cost claims and claims over the authority of the… more
- The Estee Lauder Companies (Long Island City, NY)
- …Inc.** is one of the world's leading manufacturers, marketers, and sellers of quality skin care , makeup, fragrance, and hair care products, and is a steward of ... piping and non-critical electrical or mechanical system components). You provide daily assistance to senior technicians as you read...towards SLAs with internal teams on uptime, efficiencies and cost . You will grow the team to meet the… more