- 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, 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
- New York State Civil Service (Hauppauge, NY)
- NY HELP No Agency Education Department, State Title Investigative Specialist 1, Investigative Specialist Trainee 1, Investigative Specialist Trainee 2, (3 ... Office of the Professions is seeking candidates for (3) Investigative Specialist 1 positions in the Office of Professional Discipline-Investigations (OPD). Under… 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
- Novo Nordisk (Brooklyn, NY)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity,… more
- New York State Civil Service (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... Code 11428 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 (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... Code 11428 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Elevance Health (New Hyde Park, NY)
- …and Spanish is strongly preferred. + Service delivery coordination experience in a managed care setting preferred. + Experience working with the Medicaid ... **Medical Management Specialist l** **Location** : This position will work...population is preferred. + LTSS or managed care organization experience is preferred. +… 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
- 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
- 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....Facilitates re-credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews… more