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Open nowPosted today

Managed Care Coordinator

New York Oncology Hematology44 open roles

Where
NYOH - Executive Suite
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Your applicationOpen nowManaged Care CoordinatorNew York Oncology Hematology · NYOH - Executive Suite
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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market. New York Oncology Hematology postings stay open a median of 51 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.7%14 days
  5. 35.6%30 days
  6. 58.0%60 days
This job: posted today

New York Oncology Hematology median: 51 days open

The posting

Why Join Us?

  • Be part of a practice at the forefront of cutting-edge cancer care and advanced treatments
  • Access opportunities for professional growth and continuing education.
  • Work alongside a collaborative and compassionate team of experts dedicated to making a difference.
  • Enjoy the convenience of multiple locations throughout the Capital Region.
  • Contribute to groundbreaking clinical trials that shape the future of oncology care.

Discover your career potential with a practice dedicated to excellence and innovation.

Job Description:

Essential Duties and Responsibilities

Credentialing and Provider Enrollment

  • Maintain provider rosters and submit updates to payers on a monthly basis or as provider changes occur.
  • Coordinate enrollment and credentialing activities for newly hired physicians and advanced practice providers.
  • Prioritize Medicaid credentialing and recredentialing activities to ensure timely participation and minimize reimbursement disruptions.
  • Prepare and submit credentialing applications for commercial, Medicare Advantage, Medicaid Managed Care, and other third-party payers.
  • Monitor application status and follow up with payers regarding pending credentialing requests.
  • Maintain provider demographic information across payer databases and internal systems.
  • Track recredentialing requirements and ensure timely submission of all required documentation.
  • Assist with CAQH maintenance and provider attestations.

Managed Care Contracting Support

  • Assist with contract implementation and maintenance activities.
  • Maintain managed care contract libraries and related documentation.
  • Track contract amendments, fee schedules, participation status, and renewal dates.
  • Support payer outreach regarding contracting inquiries and provider network participation.
  • Prepare reports related to payer participation, credentialing status, and contract activity.
  • Assist with special projects related to reimbursement, network expansion, and payer initiatives.

Stem Cell and CAR-T Program Support

  • Assist with verification of payer participation and eligibility requirements for Stem Cell Transplant and CAR-T Therapy services.
  • Track network participation requirements and payer-specific transplant program approvals.
  • Maintain records of Letters of Agreement (LOAs), Single Case Agreements (SCAs), and transplant network contracts.
  • Monitor contract expiration dates and assist with renewals.
  • Coordinate with clinical, financial clearance, and contracting teams regarding payer requirements and network status.

Coding and Medical Record Review Support

  • Assist with payer coding research and reimbursement policy reviews.
  • Track coding-related denials and reimbursement trends.
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