Managed Care Coordinator
Read straight from New York Oncology Hematology's careers page, verified 1d ago.Seekless can tailor your résumé to it.
Seekless can write your résumé for this posting first.
Before you apply
SalaryNo pay range posted
LocationNYOH - Executive Suite | Clifton Park, NY
SeniorityMid
Company size201–500 people
PostedOct 27, 2026 · 1w ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
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
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
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
Assist with payer coding research and reimbursement policy reviews
Track coding-related denials and reimbursement trends
Benefits
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.
About the company
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.