- Elevance Health (Latham, NY)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Latham, NY)
- …Candidates must live within 50 miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care Analyst Sr.** is responsible for ... analytical support to the Cost of Care and/or Provider ... contract negotiators, Medical Directors and management on cost of care issues to help reduce… more
- Intermountain Health (Albany, NY)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… more
- CVS Health (Albany, NY)
- …data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care . . Manages the ... 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
- New York State Civil Service (Albany, NY)
- …and the State Education Department (SED) and function as the lead on specific cost reporting issues.* Provide guidance in the testing and development of changes ... Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst...a wide range of OMH projects, including evaluation of provider fiscal health prior to contract renewals… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …(2) Qualifying specialized experience includes technical work in: contracting services, cost estimation, maintenance & repair contract administration estimating, ... You will be rated on the following Competencies for this position: Contract Formation Contracting/Procurement Cost Estimation and Analysis Mechanical Written… more
- IMSolutions, LLC (Albany, NY)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- New York State Civil Service (Glens Falls, 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
- ATI Physical Therapy (Niskayuna, NY)
- … with insurance and/or personal disability adjustors in claim strategy and business cost -savings initiatives * Support the maintenance of provider networks to ... Full Time **Hours:** Monday-Friday 1st shift (6am-5pm flexible) Thisrole will provide case management services for an employer, either remotely or embedded… 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 ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- New York State Civil Service (Albany, NY)
- …drafting/posting vacancy announcements, canvassing eligible lists, vetting candidates, etc.. Provide technical advice and consultation to local human resources staff ... on a wide variety of topics.. Provide guidance to managers regarding employee counseling, discipline, and...employee relations issues including preparing and presenting 1st Step contract , non- contract and disciplinary grievances.. Meet with… more
- Owens & Minor (Albany, NY)
- …facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care ... corporate and c-suite relationships. + Understands the customer life cycle and contract timeframe. + Coordinates needs and opportunity assessments across accounts. +… more
- Humana (Albany, NY)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… 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 ... City to be considered. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Ensures contract compliance with client and company guidelines. + Handles financials including… 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
- Intermountain Health (Albany, NY)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… 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
- 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
- New York State Civil Service (Albany, NY)
- …Track and analyze spending from federal and State sources;* Review and approve contract payments, and assure they are in accordance with contract terms;* ... end dates;* Prepare documents and materials relevant to new contracts and contract amendments;* Assist with the review and preparation of required federal reporting;… more