Top 1160 Business development center representative Jobs in New York State

Representative, Health Plan Provider Relations - Remote Must reside in NY
Molina Healthcare —New York, NY
- $19.84 - $46.42 an hour
- Full-time
- Remote
- Medical office experience
- Mid-level
- Travel
- Health insurance
Account Manager, Pharmacy Partnerships - NY
Optum —New York, NY
- $29 - $52 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Business development
7d
Financial Counselor (Sat & Sun 2pm-10pm)
NYU Langone Health —New York, NY
- $36.42 - $37.91 an hour
- Online Application
- Spanish
- Word processing
- Computer literacy
- Wellness program
Information Technology - IT Service Specialist
Aritzia —New York, NY
- $50,000 - $150,000 a year
- Full-time
- Mid-level
- Office
5d
Certified Application Counselors, Bureau of Equitable Health Systems
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $62,868 - $72,298 a year
- Full-time
- Spanish
- Mid-level
- High school diploma or GED
- Wellness program
- Health insurance
AVP, Community Engagement
Healthfirst —New York, NY
- $168,900 - $258,400 a year
- Full-time
- Hybrid work
- Sales
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Policy Analyst, Community Services Delivery
OFFICE OF THE MAYOR —Manhattan, NY
- $115,000 a year
- Full-time
- Writing skills
- Data analysis skills
- Office
- Loan forgiveness
13d
Administrator of Behavioral Health
NYC Health + Hospitals —New York, NY
- $210,000 - $225,000 a year
- Online Application
- Psychiatry
- 5 years
- Master's degree
- Commuter assistance
- Paid holidays
8d
Administrator Funded Project
NYC Health + Hospitals —New York, NY
- $100,000 - $130,000 a year
- Temporary
- Hospital
- Bachelor's degree
- Home Health
- Commuter assistance
- Paid holidays
2d
Director of HCPPA Level II
NYC Health + Hospitals —New York, NY
- $107,957 - $120,000 a year
- Online Application
- Management
- Analysis skills
- Home Health
- Commuter assistance
- Paid holidays
Assistant Director, Grants
NYC Health + Hospitals —New York, NY
- $103,000 - $125,000 a year
- Online Application
- Mid-level
- 3 years
- Master's degree
- Commuter assistance
- Paid holidays
Labor Relations Specialist
NYC Health + Hospitals —New York, NY
- $111,000 a year
- Online Application
- Research
- Mid-level
- Microsoft Office
- Commuter assistance
- Paid holidays
Graduate Business Development Representative
DailyPay —New York, NY
- $60,000 a year
- Email
- Hybrid work
- Hospitality
- Marketing
- Customer service
- AD&D insurance
- Disability insurance
Business Development Representative
DailyPay —New York, NY
- $60,000 a year
- Email
- Hybrid work
- Marketing
- Research
- Business development
- AD&D insurance
- Disability insurance
Associate, Paid Media
Precision —New York, NY
- $58,500 - $62,000 a year
- Full-time
- Hybrid work
- Writing skills
- Research
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Director of Call Center Operations, Bureau of Customer Support
DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $98,159 - $112,883 a year
- Full-time
- Doctoral degree
- Mentoring
- 1 year
- Wellness program
- Health insurance
8d
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
Manager of Workforce Development & Operations, Bureau of Center for Population Health Data Science Administration
Agency DEPT OF HEALTH/MENTAL HYGIENE —Manhattan, NY
- $110,067 a year
- Full-time
- 18 years or older
- Office
- Administrative experience
- Wellness program
- Health insurance
Sales Development Representative - Medical Device-Remote within New York City, New Jersey, Philadelphia territory
Siemens Healthineers —New York, NY
- $68,160 - $93,720 a year
- Full-time
- Remote
- Background check
- Current TB test
- Up to 50% travel
- Disability insurance
- Health insurance
14d
STRATEGIC INITIATIVE ADVISOR
DEPT. OF HOMELESS SERVICES —Manhattan, NY
- $118,873 - $133,000 a year
- Full-time
- Office
- Finance
- Administrative experience
- Loan forgiveness

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Representative, Health Plan Provider Relations - Remote Must reside in NY

Molina Healthcare -
New York, NY

Apply Now

Job Details

Full-time
$19.84 - $46.42 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care
Managed care organization experience
Medical office experience
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
May provide training and support to new and existing provider relations team members as appropriate.

will require to travel at least once a week subject to change.

Required Qualifications

At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

business development center representative jobs in new york state

Representative, Health Plan Provider Relations - Remote Must reside in NY

Account Manager, Pharmacy Partnerships - NY

Financial Counselor (Sat & Sun 2pm-10pm)

Information Technology - IT Service Specialist

Certified Application Counselors, Bureau of Equitable Health Systems

AVP, Community Engagement

Policy Analyst, Community Services Delivery

Administrator of Behavioral Health

Administrator Funded Project

Director of HCPPA Level II

Assistant Director, Grants

Labor Relations Specialist

Graduate Business Development Representative

Business Development Representative

Associate, Paid Media

Director of Call Center Operations, Bureau of Customer Support

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

Manager of Workforce Development & Operations, Bureau of Center for Population Health Data Science Administration

Sales Development Representative - Medical Device-Remote within New York City, New Jersey, Philadelphia territory

STRATEGIC INITIATIVE ADVISOR

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