• Kizen (New York, NY)
    …records, notes, and activity tracking within CRM and other internal systems. Requirements Experience as an Account Manager or in a client-facing role within ... experiences, and - overall - a more fulfilling human experience . Kizen is on a mission to give every team member an AI Assistant - turning every company into an… more
    Upward (08/11/25)
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  • Cordis (New York, NY)
    …**We are the people behind the people who keep saving lives.** Come be a vital member of the Sales team at Cordis! The **Territory Manager ** position offers you ... + Bachelor's degree or 4+ years of related work experience + 5+ years of sales experience ,...are inclusive, equitable and welcoming. **_Cordis customers that receive Medicare /Medicaid funding may be subject to federal COVID-19 workforce… more
    DirectEmployers Association (09/30/25)
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  • Medicare Member Experience

    Centene Corporation (New York, NY)
    …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer ... gaining in-depth insights into the underlying factors shaping the member experience . The role extends beyond observation... experience data, to influence the long-term experience strategy of Medicare . + Performs other… more
    Centene Corporation (10/21/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
    Centers Plan for Healthy Living (10/14/25)
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  • Field Reimbursement Manager - New York…

    Amgen (New York, NY)
    …types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial payers, Medicare plans, and state Medicaid in a ... we reach millions of patients each year. As a member of the Amgen team, you'll help make a...lives of patients while transforming your career. **Field Reimbursement Manager - New York Metro** **What you will do**… more
    Amgen (10/02/25)
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  • Manager II Grievance & Appeals

    Elevance Health (Woodbridge, NJ)
    …+ Three years of managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance, programs, guidelines, and processes are ... ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:**...regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a… more
    Elevance Health (10/13/25)
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  • Manager , Appeals & Grievances…

    Molina Healthcare (Yonkers, NY)
    …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years ... Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized… more
    Molina Healthcare (10/11/25)
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  • Field Reimbursement Manager , Immunology…

    J&J Family of Companies (New York, NY)
    …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Bay Shore, ... (NY) territories. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help… more
    J&J Family of Companies (10/23/25)
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  • Senior Field Reimbursement Manager - North…

    Danaher Corporation (New York, NY)
    …improving health care through fast, accurate, molecular diagnostic systems and tests. As a member of our team, you'll get to make an immediate, measurable impact on ... (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer… more
    Danaher Corporation (10/15/25)
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  • Key Account Manager - Cardiovascular - Long…

    Amgen (New York, NY)
    …General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of ... transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account … more
    Amgen (10/12/25)
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  • Health Insurance Resource Manager

    Erickson Living (Tinton Falls, NJ)
    Location: Seabrook Village by Erickson Senior Living The Health Insurance Resource Manager (HIRM) is the professional insurance resource to community residents and ... employer group coverage to aid the resident and/or family member to better understand their benefits. + Be knowledgeable...of all applicable CMS regulations and guidelines of specific Medicare Advantage Plans. + Create sales events intended to… more
    Erickson Living (10/22/25)
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  • Program Manager , Healthcare Services…

    Molina Healthcare (Yonkers, NY)
    …Healthcare Quality (CPHQ), or other health care or management certification. + Leadership experience . + Medicaid/ Medicare population experience . + Six sigma ... commitments. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** + Collaboratively plans and executes… more
    Molina Healthcare (10/10/25)
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  • Nurse Manager , Physician Practice (OB/GYN)

    Northwell Health (Bellmore, NY)
    …Commission on Accreditation of Healthcare Organizations (JCAHO), Centers for Medicare and Medicaid Services (CMS), International Health Institute (IHI), Community ... identify at least one potential successor to the Nurse Manager role. + Completes appropriate management conferences. + Oversees...specialized certifications as needed. + 6-8 years of relevant experience and 2-5 years of leadership / management … more
    Northwell Health (10/08/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Staten Island, NY)
    …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... and performing all required tasks assigned by the Sales Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
    Centers Plan for Healthy Living (10/14/25)
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  • Nursing Supervisor - New York City

    Option Care Health (Brooklyn, NY)
    …expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
    Option Care Health (10/19/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (New York, NY)
    …state-specified certification based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or virtually ... - RN Telehealth** is responsible for overall management of member 's case within the scope of licensure; provides supervision...Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities,… more
    Elevance Health (10/04/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The… more
    Molina Healthcare (10/23/25)
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  • Quality Assurance Nurse LTC

    Centene Corporation (Queens, NY)
    …Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also ... in order to ensure that all components of the Member 's medical record are completed with quality standards and...for day-to-day purposes and at meetings. + Assist the Manager , as needed, to determine areas that require immediate… more
    Centene Corporation (10/15/25)
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  • Regional Care Partner - NY Metro Area

    Kestra Medical Technologies, Inc (New York, NY)
    The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders ... care in the field + Coordinate and report out to the Regional Care Manager on activities to align and streamlined certification process and fitter readiness as the… more
    Kestra Medical Technologies, Inc (10/25/25)
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  • Customer Care Representative I

    Elevance Health (New York, NY)
    …in: Spanish, Russian, Bengali, Cantonese and / or Mandarin are preferred. + Previous Medicare / Medicaid experience preferred. + Long-term care experience ... + Requires a HS diploma or equivalent + Previous experience in an automated customer service environment; or any...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/09/25)
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