Managed care analyst Jobs in New York, NY
- Promoted
Managed Care Contract Specialist
CAIPA MSO LLCNew York, NY, United States
Managed Care Leader
WTWNew York, NY, United States
Managed Care Billing Specialist •
The New Jewish HomeBronx, NY, US- Promoted
Remote Salesforce Architect - Information Systems - Managed Care - Manhattan NY
Tandym GroupNew York, NY, United States- Promoted
Managed Services Delivery Manager
AVI SystemsNortheast, NY, United States
Medicaid Managed Care Liaison
MercyFirstBrooklyn, New York, US
RN Care Manager -CM - Managed Care - Home Care - Manhattan NY - WFH
The Execu|Search GroupNew York, New York
Practice Leader, Managed Services
ADPUnited States-Home Office, NY- Promoted
Managed Care Coordinator II
Metropolitan Jewish Health SystemNew York, NY, United States- Promoted
Epic Contract Analyst (Assistant Director of Fiscal Affairs), Managed Care Administration
NYC Health + HospitalsNew York, NY, United States
Assistant Program Director Medicaid Managed Care
Good Shepherd ServicesBronx, New York
Implementation Analyst – GP Managed Data Service (MDS)
S&P GlobalNew York, NY, US- Promoted
LMSW or LCSW | Managed Care Liaison / Inpatient Insurance Coordinator
Maimonides Medical CenterBrooklyn, NY, United States
Managed Services - Data & Analytics -AI QE Analyst
PwC US Consulting LLPNew York,NY
ERP Managed Services Manager
BDONew York, NY, United States
Senior Contract Analyst (Managed Care) (Hybrid position)
NYU Langone HealthNew York, NY, US- Promoted
Managed Care Regional Director
VirtualVocationsNew York, New York, United States- Promoted
Medicaid Managed Care Liaison
Abbott HouseBronx, NY, United States
Associate Managed Care Analyst
Highmark HealthNY, Working at Home, New York- Promoted
Managed Care Coordinator II
MJHSNew York, NY, United StatesManaged Care Contract Specialist
CAIPA MSO LLCNew York, NY, United States- Full-time
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 Contracting Specialist, you will be expected to assist the Contracting Manager with all issues related to health plans and provider downstream agreement. Assist in supporting the network strategies and network initiatives via calls or in-person outreach. The successful individual must be able to communicate and collaborate effectively with others; internal as well as external contacts and resources in order to achieve desired results and resolution of issues
Responsibilities :
The specialist works closely with healthplans and internal departments to communicate and implement the terms of the managed care contracts
Job Responsibilities coordinates and support contracting activities, including value-based agreements
Evaluates and reviews contract language proposals; coordinates and tracks redline and proposed drafts
Serves as an internal liaison on contract provisions and policies by providing updates and educating staff on the impact of changes
Develops and implements communication and education strategy on health plan policies and issues for CAIPA providers
Tracks, documents, and communicate the progress of contracts and contracting issues
Build and maintain provider relationships with practices through active outreach
Leading and reporting on monthly meetings.
Works with providers, health plans, and internal departments.
Assisting and completing various projects on time.
Other duties and projects as assigned in line with department and company needs.
Requirements
Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
Proven analytical skills
Excellent multi-tasking, prioritizing, organization, and time management skills.
Knowledge and experience with Adobe, and Microsoft Office products.
Bachelor's Degree; or two years related experience and / or training.
Willing to travel 25% of the time in the field working hands-on with providers
The remainder of work will be home and office based, depending on the needs of the department
Benefits
- Competitive Health Benefits including Medical, Vision, Dental and Life Insurance
- 401k retirement plan with a 6% corporate match
- Paid Time Off
- 13 Paid Holidays
Salary : 42k-63k