- Blue Matter (New York, NY)
- …across the lifecycle of their products, portfolios and organizations. Our project types include new product planning, launch strategy, portfolio planning, disease ... care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup...actionable solutions to our clients. Primary Responsibilities + Manage project teams in the delivery of cross-functional projects across… more
- HSS (New York, NY)
- …be part of our transformation across the enterprise. Center for Health Equity Program Manager HSS believes Health Equity is a moral imperative; as the leader in ... evidence-based interventions, and standardized performance metrics. The Health Equity Program Manager will contribute to achieving the vision and mission of the… more
- Bausch + Lomb (Manhattan, NY)
- …to join our dry eye Market Access team. The Field Reimbursement Access Manager is a field-based non-promotional position who will use their extensive knowledge of ... experience in public or private third-party reimbursement; previous field reimbursement manager experience preferred. + Must have worked with a pharmaceutical,… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …Health Information as it relates to the network. Knowledgeable of Centers for Medicare & Medicaid Services (CMS), The Joint Commission and New Jersey Department of ... initiatives. **Responsibilities** A day in the life of a Health Information Manager with Hackensack Meridian Health includes: + Manages the daily activities of… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Palliative Care NP Program Manager works in conjunction with the Interdisciplinary Team (IDT) and Transitions in Care team in coordinating and ... settings. + Ability to manage multiple projects and meet project deadlines. + Agility in thinking and interest in...+ Must have a Medicaid Provider ID and a Medicare Provider ID in good standing. Physical Requirements Individuals… more
- Catholic Health Services (Melville, NY)
- …shift from fee-for-service to those which are value-based. Job Details The Provider Engagement Manager (PEM) is the face of CHS for our physician network. The PEM ... for the performance of assigned practices across major payor categories including Medicare , Medicaid and Commercial Plans. The successful PEM will need excellent… more
- The Cigna Group (Morris Plains, NJ)
- **Summary** Partners with the Senior Manager to establish strategies to manage issue management pipeline impacting Regulated Markets. Interfaces with multiple ... resolve issues involving regulatory risk/impact. May lead projects or project steps within a broader project or...and other stakeholders to respond to State, Center for Medicare and Medicaid Services (CMS) and Client audit findings… more
- The Cigna Group (New York, NY)
- This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... Cigna RA programs. The role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall operational market goals in… more
- HSS (New York, NY)
- …Full-Time Overview: The Credentialing Coordinator, under supervision of Credentialing Manager plays a key role with development, planning and implementation ... Staff Bylaws, accrediting and regulatory agencies (ie, Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing… more
- Hackensack Meridian Health (Eatontown, NJ)
- …and initiate correction if applicable. Work to resolve billing issues with Medicare , Medicaid and insurance companies. Follow up to ensure corrections are completed. ... + Process adjustments timely and with the authorization from the Administrative Manager . + Process all recertification Certificates of Medical Necessity (CMN) and… more