- Molina Healthcare (NY)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Syracuse, NY)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (East Syracuse, NY)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Albany, NY)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- CVS Health (New York, NY)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for an Associate Director, Medicare Product Manager to improve how seniors find and select their Medicare plans. 88% of ... seniors report that they find enrolling in a Medicare plan to be confusing and overwhelming. Our mission...strategy that will help you succeed as a general manager + Become the point person for client financial… more
- CVS Health (New York, NY)
- …team members that bring creativity and strategic thinking to our work. The Senior Manager , Strategic Marketing, Age-In Medicare Acquisition Marketing will ... of developing and executing performance-driven campaigns for the Age-In program , with a focus on the Medicare ...Age-In program , with a focus on the Medicare Advantage product line + Support growth by working… more
- Trinity Health (Schenectady, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...in Latham, 385 Watervliet Shaker Road We are a Program of All-Inclusive Care for the Elderly (PACE)--a unique… more
- Cardinal Health (Albany, NY)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Humana (Albany, NY)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- CVS Health (Albany, NY)
- …interpersonal skills. + Internal Aetna system knowledge a plus. + Understanding of Medicare & Commercial. + Proven working knowledge of provider financial issues and ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Elderwood (North Creek, NY)
- Salary $22.40 - $33.60 / hour Overview Join Our Team as an Business Office Manager at Elderwood at North Creek! Business Office Manager Overview: + The Business ... manages facility petty cash accounts and resident accounts. The Business Office Manager is responsible for the maintenance of census, admission, re-admission and… more
- Access: Supports For Living (Middletown, NY)
- …$26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate...of weekly claims processing + Analyze, billing and processing program claims for accuracy and completeness; submit claims to… more
- Intermountain Health (Albany, NY)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- Humana (Albany, NY)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... cybersecurity programs, ensuring alignment with organizational security strategies. The IT Program Manager will collaborate closely with leaders to develop… more
- Medtronic (New York, NY)
- …in a more connected, compassionate world. **A Day in the Life** The Senior Health Economics & Outcomes Research Specialist will be a critical Health Economics ... of retrospective analysis of administrative health care claims data (both public/ Medicare , commercial, and hospital claims data) with the intent of publication… more
- CVS Health (Albany, NY)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- New York State Civil Service (Bronx, NY)
- …for hire under the Hiring for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree in ... NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center, Bronx Campus, P26040 Occupational Category… more
- Molina Healthcare (New York, NY)
- …of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare . We are looking for a Case Manager with a LMSW or LCSW ... the site of service. This position will support our Senior Whole Health business. _Senior Whole Health by Molina_...PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to work in a… more
- BrightSpring Health Services (Long Island City, NY)
- …and direct telephone outreach, the primary responsibility of theRegional Account Manager (inside sales)position will be to develop andmanage a designated ... prescriber offices settings. The open territory is NorthEast and the Regional Account Manager will work remotely from home. * Medical, Dental & Vision Benefits plus,… more