• Senior Program Manager

    Molina Healthcare (Yonkers, 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
    Molina Healthcare (10/02/25)
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  • Senior Analyst, Operational Regulatory…

    Molina Healthcare (Yonkers, NY)
    …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
    Molina Healthcare (08/22/25)
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  • Senior Manager , Compliance

    Project Renewal, Inc. (New York, NY)
    Title: Senior Manager , Compliance Program : Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior ... regulatory compliance in healthcare and related human services. The Senior Manager , Compliance reports to the Director...Medicare , Part 2). + Ensure the organization's compliance program meets FQHC and Article 28 standards. + Policy… more
    Project Renewal, Inc. (10/08/25)
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  • Manager , Market Access

    Blue Matter (New York, NY)
    …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... to help grow and build the company. You will work collaboratively with senior internal and client team members to address critical business issues in biotechnology… more
    Blue Matter (07/12/25)
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  • Pharmacist, Utilization Management (UM)

    Molina Healthcare (Yonkers, NY)
    …skills. * Microsoft Office suite (including Excel), and applicable software program (s) proficiency. **Preferred Qualifications** * Medicare Part D and/or ... care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...pharmacy call center team under the direction of pharmacy senior leadership. * Identifies and implements programs to improve… more
    Molina Healthcare (10/09/25)
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  • Medical Director Physician Engagement and CDQI…

    Mount Sinai Health System (New York, NY)
    …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 ... Health Practice Optimization Lead (working collaboratively with a Population Health Manager (PHM)) for 6-10 high priority primary care/multispecialty practices. +… more
    Mount Sinai Health System (09/01/25)
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