- 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
- 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
- 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
- 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
- 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. Utilization Review ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- 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