Top 6742 Reimbursement manager Jobs in New York, Ny

Network Contract Manager - Remote NYC
Optum —New York, NY
- $72,800 - $130,000 a year
- Full-time
- Remote
- Customer service
- Pass drug screening
- Data analysis skills
Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)
Amgen —New York, NY
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
Learning Design & Impact Specialist
MJHS —New York, NY
- $90,000 - $105,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
PreAuthorization Unit Manager
MJHS —New York, NY
- $135,000 - $150,000 a year
- Full-time
- Hybrid work
- Management
- Senior level
- Health insurance
- Dental insurance
10d
Billing Manager
Montefiore Einstein —Bronx, NY
- $84,000 - $105,000 a year
- Full-time
- Mid-level
- Microsoft Office
- Bachelor's degree
Operations Training Manager, NYC & Central Region
Hermès Paris —Manhattan, NY
- $90,000 - $110,000 a year
- Full-time
- Microsoft Excel
- Writing skills
- Bachelor's degree
- Profit sharing
- Paid parental leave
Field Reimbursement Manager - Neurology (New York, Metro)
Regeneron —New York, NY
- $165,600 - $209,600 a year
- 5 years
- Bachelor's degree
- Neurology
- Disability insurance
- Health insurance
Manager, Learning Solutions
RWJBarnabas Health Corporate Services —West Orange, NJ
- $121,441 - $157,873 a year
- Full-time
- 6 years
- Office
- Analysis skills
- Paid parental leave
- Paid holidays
14d
Billing Manager
White Plains Hospital —White Plains, NY
- $69,996.42 - $105,006.33 a year
- Full-time
- Bachelor of Science
- Mid-level
- Microsoft Office
Administrative Manager
Columbia University —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Customer service
- Mid-level
- Office
Ancillary Network Account Manager
Healthfirst —New York, NY
- $68,900 - $99,620 a year
- Full-time
- Hybrid work
- Research
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
14d
Manager, Real Estate Services
Mastercard —New York, NY
- $131,000 - $216,000 a year
- Online Application
- Management
- English
- Office
- Paid jury duty
- Health savings account
Manager, Meeting & Events Management
Mastercard —Harrison, NY
- $125,000 - $207,000 a year
- Weekends as needed
- Office
- Analysis skills
- Team management
- Paid jury duty
- Health savings account
Field Reimbursement Manager - Atlanta
CSL Behring —Summit, NJ
- Full-time
- 7 years
- Office
- Bachelor's degree
Contract Manager
Agency ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $82,056 - $122,180 a year
- Full-time
- Mid-level
- Office
- Residential
- Loan forgiveness
Communications Manager, Payments
Amazon.com Services LLC —New York, NY
- $126,700 - $171,400 a year
- Full-time
- Research
- Bachelor's degree
- Travel
- AD&D insurance
- Health insurance
6d
Sr. Assistant Property Manager
Ascend —New York, NY
- $100,000 - $110,000 a year
- Microsoft Excel
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply
Manager, Sales Investigations
Centene —New York, NY
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Sr. Manager, Strategy
Macy’s —New York, NY
- $129,960 - $216,120 a year
- Full-time
- Office
- 3 years
- Analysis skills
- Store discount
- Paid holidays

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reimbursement manager jobs near new york, ny

Network Contract Manager - Remote NYC

Optum -
New York, NY

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Job Details

Full-time
$72,800 - $130,000 a year

Qualifications

Data analysis skills
Contract management experience in healthcare
Driver's License
Direct contracting
Contracts
Healthcare reimbursement methods

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This role with UnitedHealth Group will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people.

Network Contract Managers develop the provider network, yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. They evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships and ensuring the network composition includes an appropriate distribution of provider specialties.

If you are located in NY, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Manage unit cost budgets, target setting, performance reporting and associated financial models
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Evaluate and negotiate contracts, reimbursement methodologies and rates in compliance with company templates, reimbursement structure standards and other key process controls
Manage unit cost, target parameters, performance reporting and associated financial models
Ensure that network composition includes an appropriate distribution of provider and specialties and overall recruitment and contracting to ensure network adequacy
Work with internal contacts to implement regulatory requirements impacting provider contracts (state specific changes to state published rates, coding, new services and requirements)
Maintain existing network contracts and any contracting events that occur during the term of the agreement while generating savings opportunities for affordability initiatives
Coordinate high profile negotiations, build and nature trusted relationships with providers and internal state holders
Engage facility and hospital providers and any internal resources to resolve issues related to contract administration
Provide explanations and information to others on difficult issues

In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

2+ years of experience in a network management-related role, such as contracting or provider services
Experience utilizing financial models and / or financial analysis for the purpose of negotiating rates with providers or to meet other business needs
Experience in performing network adequacy analysis
Knowledge of Medicaid and/or Medicare
Intermediate level of knowledge of claims processing systems and guidelines
Proven excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
Driver's License and access to reliable transportation

Preferred Qualifications:

Experience in Payment Appendix and fee schedule development
Experience with New York Medicaid services and reimbursement methodologies
Behavioral Health provider experience
Facility/Hospital contracting experience
Knowledge of the NY/Northeast market
Proven sound interpersonal skills, establishing rapport and working well with others
Proven sound customer service skills

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

reimbursement manager jobs in new york, ny

Network Contract Manager - Remote NYC

Corporate Ethics & Compliance Investigator

Field Reimbursement Manager - Long Island, NY ( Includes, Brooklyn, Queens and Long Island)

Learning Design & Impact Specialist

PreAuthorization Unit Manager

Billing Manager

Operations Training Manager, NYC & Central Region

Field Reimbursement Manager - Neurology (New York, Metro)

Manager, Learning Solutions

Billing Manager

Administrative Manager

Ancillary Network Account Manager

Manager, Real Estate Services

Manager, Meeting & Events Management

Field Reimbursement Manager - Atlanta

Contract Manager

Communications Manager, Payments

Sr. Assistant Property Manager

Manager, Sales Investigations

Sr. Manager, Strategy

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