- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Albany, NY)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Albany, NY)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Humana (Albany, NY)
- …our caring community and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for ... customer use. The Senior Product Manager work assignments involve moderately...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
- CVS Health (Albany, NY)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- CVS Health (Albany, NY)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of assigned Medicare … more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Albany, NY)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Albany, NY)
- …in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** Humana value's personal identity protection. Please ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- Albany Medical Center (Albany, NY)
- …related departments. The Director builds external relationships with payers' senior network management, leads meeting, oversees and/or prepares presentations, and ... concisely consolidates and presents such opportunities to key stakeholders and senior organizational leadership to influence and support AMHS's continued evolution… more
- Datavant (Albany, NY)
- …to improve productivity and quality.** + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on ... for analysis and assumptions to provide data-driven insights into program performance and partnerships + Create clear and concise...train other junior analysts in support of their direct manager What you will bring to the table: +… more