- Lundbeck (New York, NY)
- …PTSD indication, pending FDA approval. Maximizes and leverages key opinion leader (KOL) relationships by identifying mutually beneficial opportunities that meet the ... and support Fulfills unsolicited requests for medical information from health care professionals Actively participates in executing Lundbeck's strategy at scientific… more
- Montefiore Medical Center (Bronx, NY)
- …preferredKnowledge of service delivery systemsKnowledge of professional Nursing standardsKnowledge of health care reimbursement and managed care policies and ... and one of New York's top employers. Join us as we further our reputation as a leader in clinical care , healthcare research, education and social commitment. more
- WTW (New York, NY)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Catholic Health Services (Melville, NY)
- …contract updates to understand impacts to reimbursement from federal, state, and managed care payers. Corrects transactions and transfers balances to responsible ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service,...carrier or revenue cycle system issues to the Team Lead and/or Supervisor. Participates in projects and audits as… more
- Catholic Health Services (Melville, NY)
- …Specialist Patient Account Representative Physician Billing Reimbursement and Contract Coordinator Team Lead Managed Care Payor Enrollment Coordinator Payor ... Contract Manager *1+ years of Physician Revenue Cycle/Medical Billing experience required. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, employees are eligible for generous benefits packages,… more
- VNS Health (Manhattan, NY)
- … care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... are action-oriented, time-specific and cost effective. + Implements specific care management activities and or interventions that lead...operational needs. + Clinical expertise in geriatrics, Long Term care and Managed care experience… more
- VNS Health (Manhattan, NY)
- …Managed Long Term Care health plans, preferred + Experience in a managed care environment, preferred + Experience in excel, preferred CAREERS AT VNS ... team to achieve excellence in the daily operations of care coordination with a focus on quality, compliance, and...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- VNS Health (Manhattan, NY)
- …coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case ... a recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to meaningfully impact lives.… more
- VNS Health (Manhattan, NY)
- …Experience: + Minimum two years of experience in health related field required + Care management and/or managed care experience preferred + Proficiency in ... OverviewProvides telephonic clinical care management services using evidence-based practices to ensure...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... State RN license.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Martin's Point Health Care (New York, NY)
- …medical record. + Proficiency of medical terminology. + Understanding of the managed care environment. + Demonstrated understanding of community services and ... Join Martin's Point Health Care - an innovative, not-for-profit health care...contributor, provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to… more
- Comunilife (New York, NY)
- …management documentation, external networking/communication with contracted entities (hospitals and Managed Care Organizations). The Senior Program Director ... Program Director-Respite Care Job Details Job Location New York, NY...Job Category Management Description The Senior Program Director will lead the overall operation of our medical Respite service… more
- The Mount Sinai Health System (New York, NY)
- …Central Billing Office (CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access, ... and resolved. 6. Oversee and supports the national payer contracts, acting as managed care liaison for internal and external constituents in all facility… more
- The Mount Sinai Health System (New York, NY)
- …and contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned clinical ... economical and effective healthcare + Completes in a timely manner all managed care applications, credentialing, and re-credentialing requests from the corporate… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Compliance by: developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in ... to managing the terms and conditions of complex contractual rebate obligations to managed care , institutional, retail and wholesale customers for the life of… more
- The Mount Sinai Health System (New York, NY)
- …setting, and effective performance measurement. The Senior Director - Actuary will be a leader in the Managed Care and Population Health Analytics ... in a financially sustainable manner. **RESPONSIBILITIES** * Partner with stakeholders from Managed Care and/or Population Health departments who will look to… more
- The Mount Sinai Health System (New York, NY)
- …management and others as scheduled or requested. 11. Engages with the MSHP Managed Care Contracting and Commercialization teams and interface with key leaders ... **JOB DESCRIPTION** The Lead Data Science Analyst is a senior-most analyst,...medical economics departments or healthcare provider analytics related to managed care contracting, population management, clinical or… more
- VNS Health (Manhattan, NY)
- …Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required + Experience in a supervisory role preferred + ... of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for one or more therapeutic areas. + Lead the efforts with Marketing and Managed Care Sales on Managed Care / Part D contracting strategies for new ... reviewed as necessary. Serves as a central point of managed markets expertise to proactively inform broader Pricing &...they meet the changing payer landscape. + Serve as lead for P&C group to communicate those strategies during… more
- Catholic Health Services (Melville, NY)
- …and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely ... and management; contributes to completion of project status reports. Lead meetings with staff and/or leadership to assist in...resolution of managed care cases Ability to work on… more
