- Cardinal Health (Albany, NY)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Syracuse, NY)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Hilton (Albany, NY)
- …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC, Managed , you will support the team that's helping hotels ... grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will...savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), a legal services program, an… more
- Molina Healthcare (NY)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Indeed (New York, NY)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- JPMorgan Chase (New York, NY)
- **Our Team** As a part of Investment Solutions, the Managed Product Group serves as subject matter experts and is responsible for product management of traditional ... investments, including mutual funds, Exchanged Traded Funds (ETFs), and Separately Managed Accounts (SMAs) offered through the Private Bank, Chase Wealth Management,… more
- Molina Healthcare (Buffalo, NY)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Yonkers, NY)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- HCR Home Care (Rochester, NY)
- Salary Range: $19.00 - $26.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 1 is primarily in an… more
- HCR Home Care (Canton, NY)
- … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
- Whitney Young Health Center (Albany, NY)
- …certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: $76,000 ... Registered Nurse (RN) Care Manager - Women's Health/Pediatrics (Req...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** ** Care Manager - Care Management-Per Diem-Day-Mount Sinai Queens** Responsible for coordinating the care of the patients across the ... 5 years acute care experience. Experience in Care Management duties and managed care reviews. + **License/Certification:** Registered professional nurse… more
- Lakeview Health Services (Geneva, NY)
- …advancing their lives? Join our Team! EMPLOYMENT OPPORTUNITY $2,500 SIGN-ON BONUS Title : Care Manager Job Requisition No.: 1753 Program : Care Management, ... consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. +...of the program at the time of the opening: Care Manager Standard Qualifications: Typical qualifications considered… more
- CenterLight Health System (Allerton, NY)
- …+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and ... medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- Lakeview Health Services (Geneva, NY)
- …Join our Team! EMPLOYMENT OPPORTUNITY ($2,500 SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1718 Program : Care Management, ... consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. +...two (2) years of experience as a Health Home care manager serving the SMI or SED… more
- Elderwood (Buffalo, NY)
- …/ Year Overview Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager who has their MSW to join our incredible growing team ... career? Responsibilities In the role of an Social Work Care Manager , you will partner with the...home care , case management, discharge planning or managed care . + Minimum of one (1)… more
- Catholic Health (Buffalo, NY)
- …Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse (RN) Care Manager -Transition of Care , as an active member of the ... utilizing foundational case management and discharge planning principles, the RN Care Manager engages the patient/patient representative in developing and… more
- Guthrie (Binghamton, NY)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- Molina Healthcare (Rochester, NY)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Ambulatory Care Manager Location: Wilson Multicultural Medical Campus - 1425 Portland Avenue Building 1 (supporting practices of the ambulatory ... Monday-Friday 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve...appropriate; * Conduct pre-visit planning and post-visit follow-up for care managed patients; * Provide feedback to… more