• Managed Care Contract

    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
    CAIPA MSO LLC (10/11/24)
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  • Senior Contracting Specialist

    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
    Hackensack Meridian Health (11/05/24)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (New York, NY)
    Senior Healthcare Program Specialist - Social Care & Community Supports New York, NY, USA Req #976 Wednesday, October 23, 2024 Staffing Solutions Organization ... making you an integral part of the team. + Provide technical assistance, contract management, and performance monitoring of Social Care Networks. One of… more
    Staffing Solutions Organization (11/09/24)
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  • Medicaid Integrity Specialist 1/Trainee…

    New York State Civil Service (New York, NY)
    …and ability to learn new data systems.Familiarity with the Medicaid Managed Care /Family Health Plus/HIV Special Needs Plan Contract and other federal and ... Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 NY HELPS Occupational Category Other...state laws and regulations that govern Managed Care Organizations. Duties Description New York… more
    New York State Civil Service (11/07/24)
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  • Billing Specialist

    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
    Prime Healthcare (10/23/24)
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  • Account Resolution Specialist

    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. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
    Prime Healthcare (09/12/24)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (New York, NY)
    Senior Healthcare Program Specialist 90 Church St, New York, NY 10007, USA * One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States 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
    Staffing Solutions Organization (09/26/24)
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  • Revenue Cycle Specialist -Revenue Integrity…

    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
    Weill Cornell Medical College (11/08/24)
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  • Physician Relationship Management…

    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
    Northwell Health (11/06/24)
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  • Regional Cap Ex - Senior Specialist

    Merck (Rahway, NJ)
    **Job Description** **Regional Cap Ex - Senior Specialist (Americas)** Reporting into the Director for regional Capex, the selected candidate will manage the CapEx ... financial transparency. He/she will provide specialized negotiation expertise and contract term management for the Capital program. The successful implementation… more
    Merck (11/15/24)
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  • Grants Manager (NIH Federal Grants - Post Award…

    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
    Mount Sinai Health System (09/12/24)
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