- Astor Services (Rhinebeck, NY)
- …and recommended by the MCL and Credentialing Supervisor, Director of Billing & RCM, Managed Care Liaison and MCOs if outside the scope of ... and credentialing personnel for all insurance payers ( Managed Care Organizations and Commercial Insurance). +...review and provide contractual recommendations. + Acts as a liaison between MCOs and Astor Services for Children &… more
- OLV Human Services (Lackawanna, NY)
- …OLV Human Services staff members to carry out the responsibilities within our Foster Care contracts and Medicaid Managed Care Plans assisting with any ... Care Coordinators of the contracted MMCPs (Medicaid Managed Care Plans) in our area. In...**Essential Job Duties:** 1. Coordinate with the MMCP's foster care liaison /coordinator 2. Will attend all meetings… more
- Northwell Health (New York, NY)
- …inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing , managed ... Facilitates re- credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews physician membership… more
- Mount Sinai Health System (New York, NY)
- …identified and resolved. 6. Oversee and supports the national payer contracts, acting as managed care liaison for internal and external constituents in all ... Central Billing Office (CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access,… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; 2. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... fashion. 3. Provides clinical information requested by the managed care companies in accordance with contractual...Patient Review Instrument (PRI) for patients requiring Residential Health Care Facility placement. 4. Liaison with financial… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... fashion. c. Provides clinical information requested by the managed care companies in accordance with contractual...Patient Review Instrument (PRI) for patients requiring Residential Health Care Facility placement. d. Liaison with financial… more
- Takeda Pharmaceuticals (Albany, NY)
- …selling opportunities and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts business + Strong ... **About the role:** The Key Account Manager - Transplant (KAM) is the liaison between Takeda and transplant centers within their designated territory, Seattle, WA.… more
- Takeda Pharmaceuticals (Albany, NY)
- …selling opportunities and adaptability to changing market conditions * Understanding of managed care landscape and how it influences/impacts business * Strong ... around the world. The Key Account Manager - Transplant (KAM) is the liaison between Takeda and transplant centers within their designated territory. The KAM is… more
- Mount Sinai Health System (New York, NY)
- …BC/BE Pediatric, Family Medicine or Adolescent Medicine Physicians to provide primary care in one of our High School-Based Health Centers in Manhattan.** ... break down racial, social and economic barriers to health care and wellness for young people by providing vital...charged with ensuring that the above functions are developed, managed and delivered within a culture that is youth-centric,… more
- VNS Health (Manhattan, NY)
- …+ Minimum five years of experience in clinical medicine, including three years in managed care , and application of evidence based medical necessity criteria and ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
- Catholic Health Services (Freeport, NY)
- …in all necessary activities to insure payment for treatment services by insurance/ managed care companies. Maintains statistical data and prepares any necessary ... Join us and Long Live Long Island where we care for Every Patient, Every Time. Explore a career...received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region… more