- RWJBarnabas Health (Elizabeth, NJ)
- Managed Care Specialist , OP Adult Partial HospitalReq #:0000172548 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:Trinitas ... Required: + High School Diploma required and one-year related experience required + Managed Care and Insurance experience required Preferred: + Passport software… 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
- CAIPA MSO LLC (New York, NY)
- …professionals are credentialed and are participating in company contracted managed care organizations (MCOs). The Credentialing Specialist primary job is to ... Credentialing Specialist New York, NY Description The Credentialing ...representatives + Coordinate credentialing/enrollment of new and established health care providers + Data collection, review, and organization +… 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)-Adult Primary Care ...**Medical Office Specialist (Certified Medical Assistant)-Adult Primary Care Center-Mount Sinai Union Square-Full Time, Days and Saturdays**… more
- 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 ... 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
- Organon & Co. (Jersey City, NJ)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Acacia Network (Bronx, NY)
- …any changes in benefits * Assist Case Managers in keeping accurate records meeting managed care requirements * Attend and participate in all required agency ... Finance Benefits Specialist Bronx, NY : 9/17/2024 Job Description Job...year KEY ESSENTIAL FUNCTIONS: + Must be familiarized with Managed Care providers to ensure proper processing… 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 (New York, NY)
- …making that leads to improved delivery of mental health services in a fully managed care system.Consults on policy and programmatic oversight and advising staff ... HELP No Agency Mental Health, Office of Title Mental Health Program Specialist 4 (Clinical), Central Office; Occupational Category Other Professional Careers Salary… more
- New York State Civil Service (Manhattan, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 2 (Professional Conduct), Box OP-1785/21553 Occupational Category No Preference Salary ... one year of permanent non-competitive service as an Investigative Specialist 2 (Professional Conduct).Non-Competitive Appointment: For non-competitive appointment, candidates… more
- International Rescue Committee (New York, NY)
- …rules. + Other tasks as needed. Team Collaboration + The Data and Reporting Specialist will be line- managed by the Children's Legal Services' Data Coordinator. ... Requisition ID: req55275 Job Title: Data & Reporting Specialist , Children's Legal Services Sector: Legal Employment Category:... will provide data and reporting support with Influx Care Facility (ICF) cases for unaccompanied children released from… 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 (New York, NY)
- …that leads to improved delivery of mental health services in a fully managed care system.Collaborate with other state agencies around hospital treatment and ... NY HELP Yes Agency Mental Health, Office of Title Mental Health Program Specialist 2 Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit… more
- New York State Civil Service (Tarrytown, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care , Human/Social Services ... in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if...receive the benefits of an overall specialized program of care . Medical Specialists 2 serve as senior practicing specialists,… 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
- 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
- New York State Civil Service (Manhattan, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1, Box OP-1778/21432 Occupational Category No Preference Salary Grade 18 Bargaining Unit ... must have one year of permanent non-competitive service as an Investigative Specialist 1.Non-Competitive Appointment: Candidates must have six years of experience in… more