- 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
- 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, 12am to 8am**… 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
- New York State Civil Service (Manhattan, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1, Investigative Specialist Trainee 1, Investigative Specialist Trainee 2, Box ... Office of the Professions is seeking candidates for an Investigative Specialist 1 (Pharmacy Coordinator) position in the Office of Professional… more
- Amgen (Newark, NJ)
- …experience in the public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR Master's degree AND 6 ... lives of patients while transforming your career. **Field Reimbursement Specialist - Newark,NJ** **What you will do** Let's do...or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales OR… more
- Amgen (New York, NY)
- …2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Master's degree AND 4 years of ... public or private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Bachelor's degree AND 6 years of public or… 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
- 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 ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 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 ... 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. #LI-BM2 Qualifications EDUCATION, EXPERIENCE, TRAINING… 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
- 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