- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- The New Jewish Home (Bronx, NY)
- …full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is responsible for resolving managed care denied ... underpaid claims timely. Responsibilities + Must be able to understand managed care contracts, create project spreadsheets for submission to payers, write… 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
- MSC Industrial Supply Co. (White Plains, NY)
- …Work Location : White Plains, NY BRIEF POSITION SUMMARY: The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions by ... with MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as Clean, Arrange, Relationships, Exceed Expectations and… more
- Novo Nordisk (Brooklyn, NY)
- …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... with other field-based employees (eg, DBMs, IDBMs, DCSs, IDCSs, Managed Markets Sales Team, Diabetes Educators, Medical Liaisons) covering...this job family are as follows: * Endocrinology Diabetes Care Specialist I - $87,000 to $103,000… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Urgent Care -New York Eye and Ear Infirmary of Mount Sinai-Full Time, 4pm to 12am**… 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 - NYC** **DPDM - 1083** **Summary** The Bureau...NYC** **DPDM - 1083** **Summary** The Bureau of Social Care and Community Supports works to integrate health and… more
- RWJBarnabas Health (Elizabeth, NJ)
- …assessment, planning and intervention + At least 1 year of experience with managed care authorization and review process Scheduling Requirements: + Shift ... Behavioral Specialist , Adult Psych (AP)Req #:0000150502 Category:Behavioral and Mental...+ Responsible for documentation and data entry on all managed care cases including timely entry on… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... Hearings in person with the Grievance and Appeals' RN Specialist and presents arguments in defense of the appeals....area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written… more
- New York State Civil Service (Bronx, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 - Westchester Day Program-#2024-302 (NY HELPS) Occupational Category ... Health Care , Human/Social Services Salary Grade 14 Bargaining Unit PS&T...State NY Zip Code 10461 Duties Description A Habilitation Specialist 1 is required at the Westchester Day Program… more
- Novo Nordisk (Brooklyn, NY)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity,… 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
- Prime Healthcare (Denville, NJ)
- …Specialist , Billing 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
- New York State Civil Service (Brooklyn, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care , Human/Social Services ... Code 11239 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- New York State Civil Service (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 (NY HELPS) Occupational Category Health Care , Human/Social Services ... Code 11428 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Elevance Health (New Hyde Park, NY)
- …and Spanish is strongly preferred. + Service delivery coordination experience in a managed care setting preferred. + Experience working with the Medicaid ... **Medical Management Specialist l** **Location** : This position will work...population is preferred. + LTSS or managed care organization experience is preferred. +… more
- New York State Civil Service (Spring Valley, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 (NY HELPS) Occupational Category Health Care , Human/Social ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- JPMorgan Chase (New York, NY)
- …services including trusts and estates, loans, mortgages and deposits. As a Fixed Income Specialist within the Market Strategy Group, you will work with a global team ... of fixed income specialists who advise clients and advisors on positioning fixed income managed solutions in the context of market and strategy views. You will be a… 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...medical center that is committed to excellence in patient care , scientific discovery, and the education of future physicians… 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