- WTW (New York, NY)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... make a difference with. **The opportunity** The Associate Director, Managed Care Payer Analytics is responsible for...be included in other related duties or assignments. + Lead the development and evaluation of pre and post-deal… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... to make a difference with. **The opportunity** The Director, Managed Care Payer Contracting is a key...be included in other related duties or assignments. + Lead the creation, revision, and management of all payer… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director, Managed Care Payer Data & Analytics (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... of pharmaceutical access in a high-growth environment.** The Director, Managed Care Payer Data & Analytics is...be included in other related duties or assignments. + Lead the design, development, and execution of analytical models… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- Description: The primary responsibilities of the Manager, Managed Care Rebates, are to provide management, mentoring, and training analysts as needed and ensure ... role will be responsible for leading and supporting the Managed Care claims processing, contract maintenance, formulary...active role in the closing process. The Manager will lead , manage, develop and motivate individuals to collectively build… more
- Hackensack Meridian Health (Edison, NJ)
- …applicable. + Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed . + Other duties and/or projects as assigned. + Adheres to HMH ... our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator...Registered Nursing Program. + Minimum 2-3 years experience in managed care or health education/coaching is preferred.… more
- Atlantic Health System (Morristown, NJ)
- …participation and transitions of care . + Knowledge /implementation of payer / managed care systems. + Knowledge/implementation of budget and department fiscal ... System aims to deliver the highest quality, safety and care combined the best experience for our patients and...environment that promotes competency . In this role, this leader will ensure optimal patient input, work to reduce… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... State RN License.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Graham Windham (Brooklyn, NY)
- …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... Health Homes Care Manager, Brooklyn Job Details Job Location 195...to create and implement innovative strategies so everyone can lead healthy, joyful, and successful lives. Principal Objective/Role Overview:… more
- Hackensack Meridian Health (North Bergen, NJ)
- …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the healthcare… more
- Hackensack Meridian Health (Edison, NJ)
- …(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey ... our mission to transform healthcare and serve as a leader of positive change. The **Nurse Navigator, Transitions of... of positive change. The **Nurse Navigator, Transitions of Care ** is a member of the healthcare team and… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. ... of succeeding in permanent housing and independent living, improving access to care and health outcomes for low-income and vulnerable populations. The Office brings… more
- City of New York (New York, NY)
- …impact of the 2022-2027 NYS Medicaid 1115 Waiver on public health outcomes. - Lead managed care collaboration initiatives for COVID-19 management and ... Local, State, and Federal legislation, policies, and programming. Medicaid Managed Care and Medicare Advantage payment and...78], Local Law 52 Local Law 163, etc.). - Lead efforts to maximize impact of NYS AHEAD model.… more
- Erickson Living (Tinton Falls, NJ)
- …informational and developmental meetings to include Medicare and Medicaid coverage changes, Managed Care information, and other pertinent information for family ... Seabrook Village by Erickson Senior Living Seabrook is seeking a strong sales leader who will be responsible for developing and maintaining maximum census in… more
- Mount Sinai Health System (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Issues: * Proactively escalate issues to Directors that could lead to significant legal ramifications or require intervention by… more
- Molina Healthcare (New York, NY)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Molina Healthcare (New York, NY)
- …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Molina Healthcare (New York, NY)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Centene Corporation (Brooklyn, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... the Sales Force CRM as an activity tracking and lead /referral tracking tool, to manage appointments and follow up,...GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related… more