- Healthfirst (NY)
- …point of contact for all plan related issues including marketing, enrollment, contracting , billing and reimbursement. + Responsible for the resolution of all issues, ... reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. +… more
- Healthfirst (NY)
- …and provider needs + Claims troubleshooting + Leads the strategic planning and contracting process at the provider levels and supports the team in execution at ... the account level. + Leads the interdepartmental strategic planning process...provider specific plans and activities. + Understand emerging trends, network /market opportunities and competitive threats + Understand Healthfirst products… more
- Healthfirst (NY)
- + Assists in the development and recruitment of the Behavioral Health network based on department needs and Healthfirst priorities. + Negotiates and executes Single ... Patient Agreement for Out of Network providers in order to determine the providers payment...be familiar with or have the ability to learn contracting and reimbursement methodologies for inpatient and outpatient services.… more
- Centene Corporation (Getzville, NY)
- …level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and ... provider education, including writing and updating orientation materials + Manages Network performance for assigned territory through a consultative/ account … more
- VNS Health (Manhattan, NY)
- …regulatory requirements and member needs are fulfilled and support Provider recruiting and contracting needed to fill identified network gaps and network ... as customers or clients required. required + Comprehensive understanding of provider network or hospital and ancillary contracting required. Minimum of two… more
- Deloitte (Jericho, NY)
- …help us position Deloitte as the clear legal technology leader. As a Legal Technology Manager , you will contribute to the growth and success of Deloitte Tax LLP in a ... (CCMP) or SAS(R) Certified Data Scientist + DocuSign (Workflow Manager , E-signature, CLM, etc.) + iCertis + Onit Product...guide or playbook creation and the design of the contracting processes The team At Deloitte Tax LLP, our… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager **PRIMARY PURPOSE** **:** To negotiate fee-for-service hospital and medical ... of business in managed care markets; to maintain provider participation within the network ; and to expand and develop provider network . **ESSENTIAL FUNCTIONS and… more
- Leap (New York, NY)
- Manager , Business Development and Real Estate About Leap: Leap is building the world's largest network of branded retail stores - powered by data, systems and ... wanted. About the role: Leap is looking for a Manager , Business Development and Real Estate who can drive...Real Estate and Business Development - to grow/optimize Leap's network of stores. The role provides a unique opportunity… more
- Deloitte (New York, NY)
- …+ Identify process and operational efficiencies within the legal department contracting function. The Team Globally, Deloitte provides legal business services, ... cycles. Deloitte TTC professionals are aligned across our global network of member firms to support our clients' objectives...(CCMP) or SAS(R) Certified Data Scientist + DocuSign (Workflow Manager , E-signature, CLM, etc.) + iCertis + Onit Product… more
- Deloitte (Jericho, NY)
- …successful ERP implementation. Deloitte TTC professionals are aligned across our global network of member firms to support our clients' objectives and address their ... (CCMP) or SAS(R) Certified Data Scientist + DocuSign (Workflow Manager , E-signature, CLM, etc.) + iCertis + Onit Product...guide or playbook creation and the design of the contracting processes The wage range for this role takes… more