- Centene Corporation (New York, NY)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- Elevance Health (Morristown, NJ)
- …The ** Provider Network Management Director** is responsible developing provider networks through contract negotiations, relationship development, and ... ** Provider Network Management Director** _Location: Alternate locations may...preferred. + Advanced knowledge in SPS, Contraxx, PLM2, and Cost of Care (CofC) strongly preferred. +… more
- Molina Healthcare (New York, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- BlackRock (New York, NY)
- …lead regular business and performance reviews with key providers + Support index provider negotiations to achieve cost savings and strategic benefits _Skills:_ + ... **About this role** **Vice President, Global Index Provider Strategy |** **Global Product Solutions** **About this role** The Global Product Solutions (GPS)… more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- City of New York (New York, NY)
- …justice services and community supports. ACS manages community-based supports and foster care services, and provides subsidized child care vouchers. ACS child ... entering the New York City's juvenile justice system, (b) provide therapeutic treatment and services to youth in our...therapeutic treatment and services to youth in our custodial care , and (c) help juveniles access the tools they… more
- Molina Healthcare (New York, NY)
- …with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with ... systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with … more
- Merck (Rahway, NJ)
- …the sourcing platform. In addition, will execute basic negotiations of applicable contract terms as directed. In addition to providing primary expertise in Capital ... planning, engagement management and performance improvement the senior specialist will provide direct guidance, planning and supervision. The selected candidate will… more
- Weill Cornell Medical College (New York, NY)
- …practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, ... Title: Subawards Manager - Contract Negotiation Location: Midtown Org Unit: Contracts Work...Act in the capacity of subject matter expert to provide staff w/guidance on and interpretation of Federal, State,… more
- VNS Health (Manhattan, NY)
- …What You Will Do + Assists the Manager in analyzing and validating managed care claims and comp grids against provider contracts, member eligibility, benefit ... data across health plans in support of ensuring payment integrity and cost containment. Identifies anomalous utilization patterns, investigates cost containment,… more
- Qualus (South Plainfield, NJ)
- **Position Overview** Power your future with Qualus as a Senior Cost Engineer providing cost management services, including budgeting, bid management, cost ... forecasting and reporting, budget management and control, change management, contract administration, close-out administration, procurement management, earned value management,… more
- Northwell Health (New York, NY)
- **Req Number** 144964 Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome ... identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and implementing… more
- Hackensack Meridian Health (Edison, NJ)
- …includes: + ** Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its entities (hospitals, wholly owned ... provide executive oversight for all aspects of managed care contracting, including fee-for-service and value-based arrangements, driving innovation in payment… more
- Centene Corporation (New York, NY)
- …(including behavioral health, and social needs) to provide quality, cost -effective healthcare outcomes. Develops a personalized care plan/service plan as ... as appropriate, between the member and/or family and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + May precept clinical new hires by… more
- Callen-Lorde Community Health Center (New York, NY)
- …patient-centered care . In this role, you will oversee caseloads, provide clinical supervision, and coordinate care across multiple disciplines to ... SUPERVISOR, CARE COORDINATION Job Details Job Location Callen-Lorde Community...Managers, providing guidance, support, and performance evaluations. + Case Management: Provide direct case management services, including intake, assessment, treatment… more
- City of New York (New York, NY)
- …requisitions and various internal systems for managing procurements. - Draft and maintain Cost Manual including PASSPort procedures. - Provide Training for New ... services and community supports. ACS manages community-based supports and foster care services and provides subsidized childcare vouchers. ACS child protection staff… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …access vendors (ie field reimbursement team, fulfillment and nursing support vendors). Provide education to be used for physicians, physician office staff, and ... Request for Proposals (RFPs). Create, review, edit and assist in negotiating contract agreements. Assist in identification, development and implementation of new … more
- Burns & McDonnell (Morristown, NJ)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple project simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more
- RWJBarnabas Health (Elizabeth, NJ)
- …+ Function as primary manager and liaison with regard to our department grant/ contract (non-managed care ) business + Support compliance with grant/ contract ... particularly in the use of Excel and various Grant Provider reporting systems + Grant negotiation experience Scheduling Requirements:...9:00 am 5:00 pm Essential Functions: + Ensure that contract reporting system is in place and operating for… more
- Integra LifeSciences (Princeton, NJ)
- …new treatment pathways to advance patient outcomes and set new standards of care . The Procurement Specialist, Indirect Goods & Services is a skilled and ... Statements of Work to Master Services Agreements to ensure the timely and cost -effective delivery of products and services. The ideal candidate will have experience… more