• Non - Medicaid Care

    Family and Children's Association (Mineola, NY)
    Non - Medicaid Care Manager Location: Garden City, NY | Schedule: Full Time, 35 hour per week | Status: Non -Exempt |Salary Range: $22.63/hour The ... Opportunity Family and Children's Association (FCA) is seeking a Care Manager to provide support, service coordination, and linkage to resources for children and… more
    Family and Children's Association (05/14/25)
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  • Senior Manager , Managed Care

    Teva Pharmaceuticals (Parsippany, NJ)
    Senior Manager , Managed Care Contracting, Regional & Medicaid (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... **The opportunity** The Sr. Manager of Managed Care Contracting, Regional & Medicaid is responsible...by any incumbents with reasonable accommodation if necessary. Any non -essential functions are assumed to be included in other… more
    Teva Pharmaceuticals (05/07/25)
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  • Senior Manager , Managed Care Payer…

    Teva Pharmaceuticals (Parsippany, NJ)
    Senior Manager , Managed Care Payer Analytics, Regional & Medicaid (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: ... and new people to make a difference with. **The opportunity** The Senior Manager of Payer Contracting Analytics is responsible for leading the analytical strategy… more
    Teva Pharmaceuticals (05/07/25)
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  • Manager Patient Accounting-Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Manager Patient Accounting-Patient Financial Services (Medicare/ Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to...years directly related experience + MS office Suite (Intermediate) Non -Bargaining Unit, AVU - Patient Accounts - BI, Mount… more
    Mount Sinai Health System (03/06/25)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care services. MCP is comprised ... as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the...NY, 11238 Hours/Schedule: 9 am - 5 pm ADM MANAGER - NON -MGRL FRM M1/M2 - 1002C Qualifications 1.… more
    City of New York (05/14/25)
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  • Case Manager Registered Nurse - Union…

    CVS Health (Elizabeth, NJ)
    …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...+ Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare experience… more
    CVS Health (04/17/25)
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  • Case Manager Registered Nurse - Union…

    CVS Health (Elizabeth, NJ)
    …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for.... Case management and/or discharge planning experience . Managed Care experience . Medicaid and Medicare experience… more
    CVS Health (04/16/25)
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  • Case Manager Registered Nurse (Field - Must…

    CVS Health (North Plainfield, NJ)
    …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...+ Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare experience… more
    CVS Health (05/28/25)
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  • Case Manager Registered Nurse - Hudson…

    CVS Health (Jersey City, NJ)
    …skills to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, ... cost-effective manner within the MLTSS/ FIDE benefit. + The care manager is responsible for documenting accurately...+ Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare experience… more
    CVS Health (05/03/25)
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  • Housing Case Manager

    GMHC (New York, NY)
    Housing Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description TheHousing ... our clients. Through a client-centered and empathetic approach, the Housing Case Manager will conduct home visits, coordinate social service referrals, assist with… more
    GMHC (03/28/25)
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  • Medical Information & Review Scientist,…

    Pfizer (New York, NY)
    …and maintenance of formulary-related documents in support of improving access to state Medicaid and managed care formularies in the US + Provides guidance ... will include Local and Global elements. Additionally, a MIR Scientist Manager is expected to actively contribute to relatively complex projects/initiatives. **ROLE… more
    Pfizer (05/28/25)
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  • Senior Contract Manager Analyst - Mount…

    Mount Sinai Health System (New York, NY)
    …contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... health systems with a strong reputation for quality of care and research. We have over 38,000 employees working...Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing,… more
    Mount Sinai Health System (04/17/25)
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  • Patient Accounts Manager (Billing Project…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Patient Accounts Manager (Billing Project Management) Patient Financial Services- Corporate- Full-Time Days** The Patient Accounts Manager ... Edit Reports + Preferred experience in managing and prioritizing multiple billing projects Non -Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai… more
    Mount Sinai Health System (05/04/25)
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  • Case Manager -(HRA) West Farms

    Comunilife (Bronx, NY)
    Case Manager -(HRA) West Farms Job Details Job Location Bronx, NY Position Type Full Time Education Level 4 Year Degree Salary Range $45000.00 - $48000.00 Salary ... Nonprofit - Social Services Description Comunilife is looking for experienced Case Manager to fill open positions for their Congregate HRA regulated program in… more
    Comunilife (04/08/25)
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  • Office Manager

    City of New York (New York, NY)
    …well-being. HASA provides intensive case management, rental assistance, emergency and non -emergency housing, and assistance with applying for public benefits and ... services including Medicaid , food stamps and cash assistance. HASA also provides...goals and receive support. Other HASA's services includes home care and homemaking services, mental health and substance abuse… more
    City of New York (05/14/25)
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  • Nurse Navigator - Transitions of Care

    Hackensack Meridian Health (Edison, NJ)
    …year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey program and ... leader of positive change. The **Nurse Navigator, Transitions of Care ** is a member of the healthcare team and...of Health + Good working knowledge of benefit plans; Medicaid -HMOs, etc. + Computer skills to include Google Docs… more
    Hackensack Meridian Health (05/02/25)
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  • EIS Case Reviewer

    City of New York (New York, NY)
    …A/R and/or authorized representative. - Determine eligibility for the appropriate level of Medicaid coverage for MAGI and Non -MAGI A/Rs. - Assist consumers who ... The Office of Constituent Services /Ombudsman Case Reviewer within the Medicaid Eligibility Information Services (EIS) is responsible for interviewing Medicaid more
    City of New York (05/14/25)
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  • Associate Insurance Verification Representative…

    Surgery Care Affiliates (Englewood Cliffs, NJ)
    Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of… more
    Surgery Care Affiliates (05/06/25)
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  • Director, Appeals & Grievances (Texas)

    Molina Healthcare (Yonkers, NY)
    …standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and training of… more
    Molina Healthcare (05/16/25)
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  • OED Director

    City of New York (New York, NY)
    …and procedures and ensures that those policies are being fully implemented. ADM MANAGER - NON -MGRL FRM M1/M2 - 1002C Qualifications 1. A baccalaureate degree from ... Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for...coverage provided to access doctors, medication, and other health care services at little or no cost. Under the… more
    City of New York (05/14/25)
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