- Healthfirst (NY)
- …representing all Medicare sales business end users and leadership Conducts project estimate sessions with project stakeholders to drive project ... Organizes and leads the project team through the entire project ...tools and technology (software and hardware) that support the Medicare Sales Operations team Works with internal and external… more
- Healthfirst (NY)
- …Responsibilities:** + Well-versed on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical ... Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member experience. + Active analysis of complex financial reports… more
- Healthfirst (NY)
- …medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless partnership and ... + Well versed on all aspects related to all Medicare products + Must be able to perform additional...develop plan of action, communicate effectively, and execute within project timelines + Strong public speaking and oral and… more
- Elevance Health (East Syracuse, NY)
- **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government Services** is a ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Middletown, NY)
- …of 7 years professional/leadership experience with CMS, including strategic planning, project management, Medicare or related healthcare insurance or medical ... **Director I Medicare Operations** **Location:** This position will work a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (East Syracuse, NY)
- **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a proud member of ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Project Manager 2 manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Project Manager 2 work assignments are varied...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Evolent Health (Albany, NY)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will work closely with Medical ... contributes to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy… more
- Elevance Health (Latham, NY)
- ** Project Leader** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our PulsePoint ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...and Medicaid Services to transform federal health programs. The ** Project Leader** is responsible for developing project … more
- Public Consulting Group (Albany, NY)
- …in Medicare and/or Medicaid audits and reviews + Leader with effective project management skills + Effective manager with team-building skills + Self-starter ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- CVS Health (New York, NY)
- …+ 5-7 years of Management Experience + Experience in Healthcare + Project Management Experience **Preferred Qualifications** + Medicare Sales Experience ... team in building out and delivering a multiyear roadmap to scale our Medicare cross-sell/conversion program. This program will be a part of our direct-to-consumer… more
- CVS Health (Albany, NY)
- …care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the Health Care Delivery ... our solutions with clear path to value and growth objectives. + Co-lead project management and leadership updates and facilitate key decision making processes. +… more
- 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
- VNS Health (Manhattan, NY)
- …cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in ... clinical and programmatic support the to the ETE grant project . + Coordinates and participates in ETE conference calls...Therapist in New York State required + Certified Case Manager preferred + For SelectHealth ETE Only: Nurse Practitioner… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Behavioral Health Manager , Provider Installation manages a division of the Provider Contracting Loading (PCL) ... and Consultants supporting Humana Behavioral Health and National Ancillary Contracts.. The Manager role is strategic in nature managing multiple work streams with a… more
- CAI (Albany, NY)
- …time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated RN Case Manager ready to take us to the next level! If you have prior experience ... **Job Description** We are looking for a RN Case Manager to provide community-based care coordination/management for our client's...state of Delaware.** Due to our end client and project work, this role does not offer visa sponsorship.… more
- VNS Health (Manhattan, NY)
- OverviewAs the Clinical Manager for Risk Adjustment, you will be at the forefront of our mission to optimize clinical coding practices and enhance the efficacy of ... Minimum five years of claims coding and risk adjustment experience in a Medicare or provider organization required + Prior experience with Risk Adjustment Processing… more
- CVS Health (New York, NY)
- …and affordable. **Position Summary** CVS Health is looking for a technical product manager to join the Multi-Carrier Solutions team, an exciting and fast-paced new ... growth area within the organization. As a technical Product Manager & Adobe Target Developer, you will lead the...testing and personalization strategies * Experience working with a project tracking software, such as JIRA, is a plus… more
- Humana (Albany, NY)
- …to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in developing and managing Medicaid and Dual ... while aligning with its business objectives. The **Medicaid Senior Insurance Product Manager ** plays a critical role in developing and managing Medicaid and Dual… more
- Mount Sinai Health System (New York, NY)
- …Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and ... reporting consistency throughout the organization. 8. Develops and maintains project work plans, including critical tasks, milestones, timelines, interdependencies… more