• Program Manager , Healthcare

    Molina Healthcare (Rochester, NY)
    …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
    Molina Healthcare (11/27/25)
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  • AI Program Manager , PMO - Moveworks…

    Molina Healthcare (Rochester, NY)
    **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
    Molina Healthcare (11/21/25)
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  • BH Care Manager LMFT, LCSW or LMHC Remote…

    Molina Healthcare (Rochester, NY)
    …behavioral healthcare , substance use, and knowledge of available BH services /resources and community support for adults are highly preferred. Further details to ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager more
    Molina Healthcare (11/12/25)
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  • Registered Nurse Clinical Manager

    Maxim Healthcare (Rochester, NY)
    …Maxim Healthcare is seeking a dedicated and experienced Clinical Manager to oversee the assignment and management of Clinical Supervisors, ensuring high-quality ... RN Home Health Clinical Manager Location: Rochester, New York Salary Range: $90,000...acute illnesses and disabilities. Our commitment to quality customer service , compassionate patient care, and filling critical healthcare more
    Maxim Healthcare (10/31/25)
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  • RN Care Manager Complex Adult Medical Care…

    Molina Healthcare (Rochester, NY)
    JOB DESCRIPTION **Job Summary** The Care Manager (RN) provides support for care management/care coordination activities and collaborates with multidisciplinary team ... This position will be supporting our Complex Adult Medical Care Management program . The ideal candidate will bring strong expertise in chronic disease management,… more
    Molina Healthcare (11/21/25)
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  • Manager , Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
    Molina Healthcare (11/13/25)
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  • Case Manager , Medicaid Long Term Support…

    MVP Health Care (Rochester, 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 ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must demonstrate understanding of clinical… more
    MVP Health Care (11/27/25)
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  • Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Batavia, NY)
    …and quality of work performed or to protect the quality of life or healthcare services . Applying a range and depth of knowledge acquired specifically through ... Summary The Clinical Nurse Manager oversees nursing services at ICE...of error can cause impairment of a departmental level service or program . The incumbent plans and… more
    Immigration and Customs Enforcement (10/05/25)
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  • Advanced Practice Provider Service Line…

    Rochester Regional Health (Rochester, NY)
    …leader to help shape the future. The Sands-Constellation Heart Institute (SCHI) APP Manager will w ork with healthcare providers, nursing and operational ... of APP workforce across RRH are also responsibilities for the APP Manager . ATTRIBUTES + Collaborative, professional and adept at conflict resolution + Excellent… more
    Rochester Regional Health (11/03/25)
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  • Pharmacy Operations Manager

    Walgreens (Newark, NY)
    …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
    Walgreens (10/23/25)
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  • Care Manager II - Health Home

    Monroe Plan for Medical Care (Rochester, NY)
    Care Manager II - Health Home Summary Title:Care Manager II - Health Home ID:HH219 (Rochester) Location:Rochester Job Type:Full-time Date Posted:09/05/2025 ... our passionate pursuit of improved access and quality of healthcare for underserved populations. For over 50 years, Monroe...Monroe Plan for Medical Care, a not-for-profit health care services organization, has been focused on improving the health… more
    Monroe Plan for Medical Care (09/05/25)
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  • Case Manager , RN (High-Cost Claimant)

    Excellus BlueCross BlueShield (Rochester, NY)
    …corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care… more
    Excellus BlueCross BlueShield (11/14/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Rochester, NY)
    …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
    Molina Healthcare (11/14/25)
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  • RN Assistant Manager

    Highland Hospital (Rochester, NY)
    …Opportunity to work with a strong leadership team.** The Assistant Nurse Manager provides professional nursing services , leadership of nursing staff, leadership ... **17128BR** **Title:** RN Assistant Manager **Department/Cost Center:** 638 - Southeast 5 **Job...ANM responsibilities reflects the expectations for appointment at unit, program , or service level. The ANM assumes… more
    Highland Hospital (11/14/25)
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  • Manager , 340B Pharmacy System

    Rochester Regional Health (Rochester, NY)
    …340B program . Responsible for the day-to-day management of the 340B program for Pharmacy Services . Responsible to manage accounts, vendor relationships, ... Job Title: Manager , 340B Pharmacy SystemDepartment: 340B Pharmacy Location: St....data related to participation in the 340B drug discount program to ensure compliance with the programs and full… more
    Rochester Regional Health (10/03/25)
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  • RN Assistant Manager of Orthopedics

    Highland Hospital (Rochester, NY)
    …focus of the ANM responsibilities reflects the expectations for appointment at unit, program , or service level. The ANM assumes expanded functional roles within ... **Hours/Week:** 40 Hours with weekend administrative call **Posting Title:** RN Assistant Manager of Orthopedics Service Line **City:** Rochester **Work Shift:**… more
    Highland Hospital (09/13/25)
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  • Regional Sales Manager - Hudson Highlands…

    Stryker (Rochester, NY)
    …critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation ... at nothing to live out Stryker's mission to make healthcare better. **What you will do:** As an **Interventional...you will do:** As an **Interventional Spine** Regional Sales Manager , you will strategically plan, direct and coordinate the… more
    Stryker (10/30/25)
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  • Lead Investigator, Special Investigative…

    Molina Healthcare (Rochester, NY)
    **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
    Molina Healthcare (11/21/25)
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  • Pharmacy Manager

    CVS Health (Sodus, NY)
    …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
    CVS Health (11/19/25)
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  • RN Assistant Manager

    Highland Hospital (Rochester, NY)
    …focus of the ANM responsibilities reflects the expectations for appointment at unit, program , or service level. The ANM assumes expanded functional roles within ... **17531BR** **Title:** RN Assistant Manager **Department/Cost Center:** 739 - Labor & Delivery...the region! Schedule - flexible, E/Ns Provides professional nursing services , leadership of nursing staff, leadership within the organization,… more
    Highland Hospital (11/14/25)
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