- MVP Health Care (Schenectady, NY)
- …be substituted for a degree. + Seven or more years of experience in health care operation, contracting, contract negotiation or Finance with at least 3 years ... Director, Procurement and Contract Management 625 State St, Schenectady, NY 12305,...Req #2360 Monday, January 27, 2025 At MVP Health Care , we're on a mission to create a healthier… more
- Highmark Health (Albany, NY)
- …meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative ... markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk...and workflow across the continuum of variability in primary care and experience in managing provider and… more
- CVS Health (Albany, NY)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Candidates must be commutable distance ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- UMB Bank (Albany, NY)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Albany, NY)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- New York State Civil Service (Albany, NY)
- …principles.* Contribute to a wide range of OMH projects, including evaluation of provider fiscal health prior to contract renewals (Legacy Contract ... Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst...of CFR data to State Aid Letter and direct contract close-outs.* Conducting periodic internal control updates and testing.*… more
- Highmark Health (Albany, NY)
- …years Experience working in an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Sedgwick (Albany, NY)
- …Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult contract surety bond claims; to provide resolution of highly complex ... Taking care of people is at the heart of...RESPONSIBILITIES** + Analyzes and processes complex or technically difficult contract surety (pay and performance) claims by investigating and… more
- CVS Health (Albany, NY)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… more
- Trinity Health (Albany, NY)
- …improve THCE service delivery in the region. Works with Direct Reports and Contract Manager to ensure vendor service agreements provide expected service value, ... teams at RHM's and System Office to develop, implement and monitor effective cost reduction plans and processes that support Trinity Health and UEM goals,… more
- New York State Civil Service (Albany, NY)
- …for retirement.- Health Insurance: Several health insurance options at an affordable cost that provide full coverage without mandatory deductibles.- Time Off: ... State NY Zip Code 12246 Duties Description The DIAS Contract and Business Manager carries out the program office...tracking of completed PIAs and direct charge billing and provide regular updates to DIAS leaders on the status… more
- New York State Civil Service (Delmar, NY)
- …and perform other duties as assigned by the, Unit director;* Provide information, resources and referrals at conferences, information sessions and presentations. ... * Provide information regarding legal and investigative process and resources...years of experience as a professional advocate or service provider in rehabilitation, developmental disabilities, or mental health.Substitution: a… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts as second...of the appeal. + Reviews reserve amounts on high cost claims and claims over the authority of the… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …S. Stratton VA Medical Center, Albany, New York and supports the mission to care for our Veterans with compassion and excellence. The successful candidate for this ... position is responsible for overseeing a group of Anesthesiology physicians who provide a broad range of anesthesiology interventions to Veterans with complex… more
- Elevance Health (Latham, NY)
- …participating in the member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's care plan ... member's needs, with the goal of optimizing member health care across the care continuum. **How you...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. +… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …field of Vascular and Interventional Radiology and provides a broad range of care to Veterans with complex disease and comorbidities, within a patient centric model. ... Responsibilities The Interventional Radiologist is charged with delivering the best possible care to our Veterans. This care must be delivered in accordance with… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements....not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Sedgwick (Albany, NY)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Cushman & Wakefield (Albany, NY)
- …with internal stakeholders and external vendors to ensure a seamless, cost -effective, and compliant travel experience across all regions. **Job Description** ... service standards. + Monitor and manage global travel vendors for quality, cost -efficiency, and adherence to service level agreements (SLAs). + Track and analyze… more