- 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
- Novo Nordisk (Yorktown Heights, NY)
- …of patients with obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and ... identify and leverage business opportunities + Analyze impact of managed care in the territory and its...PLEASE INCLUDE ALL POSITIONS IN JOB FAMILY * Obesity Care Specialist 1 - $87,000 to $106,000… 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
- 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 (West Haverstraw, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- New York State Civil Service (Thiells, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... the benefits of an overall specializedprogram of careThe Medical Specialist 2 will provide primary care to...System (ERS), which is recognized as one of the best- managed and best-funded public retirement systems in the nation.… more
- New York State Civil Service (Tarrytown, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... Code 10591 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 (Nyack, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... 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
- T. Rowe Price (New York, NY)
- …career with us. Role Summary The primary role of the Fixed Income Investment Specialist (IS) - Insurance Solutions is to partner with our dedicated team of insurance ... closely with insurance sales, client service, portfolio management and portfolio specialist professionals. Represent our full range of insurance asset management… more
- WMCHealth (Valhalla, NY)
- …and prepares specializedreports. + Perform telephonic clinical reviews to Behavioral Health Managed Care Organizations in order to obtain ongoing authorization. ... Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt-WMC Health Union: No Position: Full Time Hours:… more
- Radformation (New York, NY)
- Work at Radformation Cancer rates increase year after year, yet high-quality care is not universal. By automating and standardizing the treatment planning workflow, ... aims to create a system where any patient anywhere can receive the same high-quality care . We strive daily to reduce cancer's global impact and help save more of the… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of ... as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient...ensure patient is in appropriate status and level of care . + Initiate real time eligibility query (RTE) on… more
- New York State Civil Service (New York, NY)
- …a hearing request. This includes identifying the appropriate local district location, managed care organization, or State entity.* Fields compliance complaints, ... Yes Agency Temporary and Disability Assistance, Office of Title Fair Hearings Specialist 1 Spanish Language (NY HELPS) Occupational Category Legal Salary Grade 14… more
- Molina Healthcare (New York, NY)
- …in healthcare with minimum 2 years' experience in health plan quality improvement, managed care or equivalent experience. + Demonstrated solid business writing ... Please include this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or… more