- Elevance Health (Latham, NY)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Latham, NY)
- …Candidates must live within 50 miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care Analyst Sr.** is responsible for ... analytical support to the Cost of Care and/or Provider ... contract negotiators, Medical Directors and management on cost of care issues to help reduce… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Contract Management Specialist 1 Occupational Category Other Professional Careers Salary ... for People With Developmental Disabilities (OPWDD) is seeking a Contract Management Specialist 1 to work in the Community...Department of Civil Service, www.cs.ny.gov/rp55/, and be able to provide it to the Human Resources Office upon request.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Parks, Recreation & Historic Preservation, Office of Title Contract Management Specialist 1/Trainee 1/2 (NY HELPS) - Albany - Capital Bureau ... 625 Broadway City Albany State NY Zip Code 12238 Duties Description The Contract Management Specialist 1/Trainee 1/2 duties within the Capital Bureau in Albany will… more
- Intermountain Health (Albany, NY)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… more
- New York State Civil Service (Albany, NY)
- …and the State Education Department (SED) and function as the lead on specific cost reporting issues.* Provide guidance in the testing and development of changes ... Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst...a wide range of OMH projects, including evaluation of provider fiscal health prior to contract renewals… more
- Humana (Albany, NY)
- … experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst ... us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on… more
- IMSolutions, LLC (Albany, NY)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Sharecare (Albany, NY)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Lumen (Albany, NY)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- Humana (Albany, NY)
- …+ Health Care experience + Credentialing, Auditing - Peer Audits, Contract Load, Service Fund, Directories or CIS experience + Provider Network ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- Owens & Minor (Albany, NY)
- …facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care ... corporate and c-suite relationships. + Understands the customer life cycle and contract timeframe. + Coordinates needs and opportunity assessments across accounts. +… more
- Humana (Albany, NY)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Sedgwick (Albany, 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 ... City to be considered. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Ensures contract compliance with client and company guidelines. + Handles financials including… more
- Sedgwick (Albany, 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
- Sedgwick (Albany, 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
- Intermountain Health (Albany, NY)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… more
- Sedgwick (Albany, 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 ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Baylor Scott & White Health (Albany, NY)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- New York State Civil Service (Saratoga Springs, NY)
- …(Civil), responsibilities include but are not limited to:* Overseeing consultant and contract work; preparing scope of work for and administers contracts, including ... standards for accessibility.* Performing and/or managing the preparation of contract drawings and specifications.* Preparing graphics and presentations to… more