- Kizen (New York, NY)
- …records, notes, and activity tracking within CRM and other internal systems. Requirements Experience as an Account Manager or in a client-facing role within ... experiences, and - overall - a more fulfilling human experience . Kizen is on a mission to give every team member an AI Assistant - turning every company into an… 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
- 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
- Amgen (New York, NY)
- …types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial payers, Medicare plans, and state Medicaid in a ... we reach millions of patients each year. As a member of the Amgen team, you'll help make a...lives of patients while transforming your career. **Field Reimbursement Manager - New York Metro** **What you will do**… more
- Molina Healthcare (Yonkers, NY)
- …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years ... Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized… more
- J&J Family of Companies (New City, NY)
- …and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Queens, Brooklyn, ... Heights, NY. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients… 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
- 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
- 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
- Option Care Health (Manhattan, NY)
- …expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… 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
- Molina Healthcare (Yonkers, NY)
- …Pharmacist's Association Medication Therapy Management (MTM) certificate. * Medicaid and/or Medicare experience . * Clinical skills or pharmacotherapy expertise ... optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Facilitates Medication Therapy Management… more
- Centene Corporation (Queens, NY)
- …Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also ... in order to ensure that all components of the Member 's medical record are completed with quality standards and...for day-to-day purposes and at meetings. + Assist the Manager , as needed, to determine areas that require immediate… more
- Somatus (Bronx, NY)
- …no/reduced hospital or ER visits on a monthly basis Qualifications _Required_ + Experience working with Medicare , Medicaid or Special Needs populations. + ... across the country living with chronic kidney disease to experience more days out of the hospital and healthier...care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through… more
- Atlantic Health System (Rockaway, NJ)
- …provider designated by the client facility and reports to the facility Nurse Manager . Hours will vary according to surgical schedule, facility hours of operation and ... Required: 1. High School Diploma 2. 1-2 years of experience as Anesthesia Technician or Operating Room Tech ...largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards… more
- Elevance Health (New York, NY)
- …in: Spanish, Russian, Bengali, Cantonese and / or Mandarin are preferred. + Previous Medicare / Medicaid experience preferred. + Long-term care experience ... + Requires a HS diploma or equivalent + Previous experience in an automated customer service environment; or any...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Mount Sinai Health System (New York, NY)
- …well with team members. Participate and promote clinical and interdisciplinary team member collaboration to common goals. + Experience in clinical ... risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report to Vice President, Clinical… more
- Molina Healthcare (Yonkers, NY)
- …markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight ... National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the...services. Required Qualifications * At least 3 of relevant experience , including 2 years of medical practice experience… more
- Molina Healthcare (Yonkers, NY)
- …Active and unrestricted State Pharmacy License for workplace and plan location. **Preferred Experience ** + Medicare Part D or Medicaid experience . + ... with the Case Management department as part of a member -centered interdisciplinary care team. + Works with the PBM...the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical… more
