- 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
- Molina Healthcare (Yonkers, NY)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... member to ensure needs are met and member is having a positive plan experience ....manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social… more
- 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
- Molina Healthcare (Yonkers, NY)
- …Loss, Surgery, Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare… more
- 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 Brooklyn, ... NY, territories. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help… more
- Molina Healthcare (Yonkers, NY)
- …Quality (CPHQ), or other health care or management certification. * Leadership experience . * Medicaid/ Medicare population experience . To all current ... commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties* Collaboratively plans and executes internal… more
- 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
- 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
- Catholic Health Services (Farmingdale, NY)
- …* Baccalaureate degree required, Master's degree preferred * Minimum 4 years nursing experience , preferably in Home Care or a Medicare certified Hospice * ... Overview Good Shepherd Hospice is a member of Catholic Health and an integral part...core of over 100 dedicated people. The Hospice Team Manager assumes oversight management and supervisory responsibilities for clinical… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If you have a ... least 3 years of recent clinical and Case Management experience . Experience working in a Medicaid Long...complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of… more
- Sunrise Senior Living (Hicksville, NY)
- …NAME** At Home New York **Job ID** 2025-234538 **JOB OVERVIEW** The Clinical Manager is responsible for the oversight of client care services within the home ... fostering effective communication between healthcare providers, client, and families. The Clinical Manager works to ensure that client care is delivered in a safe,… more
- 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 (Yonkers, NY)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not ... management software. * Targets and recruits additional providers to reduce member access grievances. * Engages targeted contracted providers in renegotiation of… more
- 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
- 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
- Northwell Health (Lake Success, NY)
- …interprets and communicates federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. + Provides general compliance education and support to ... Degree required, or equivalent combination of education and related experience . + 1-3 years of relevant experience ,...be modified in the future. When determining a team member 's base salary and/or rate, several factors may be… more
- Northwell Health (Staten Island, NY)
- …companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to ... Certification, preferred. + Minimum of one (1) year related experience , required. Experience in case management and...may be modified in the future.When determining a team member 's base salary and/or rate, several factors may be… more
- Centers Plan for Healthy Living (Queens, 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
- Molina Healthcare (Yonkers, NY)
- …provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are highly ... Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid… more
- 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