- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... 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
- Gilead Sciences, Inc. (Queens County, NY)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Molina Healthcare (New York, NY)
- …Please include this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- Molina Healthcare (New York, NY)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Centene Corporation (New York, NY)
- …enhance member and provider experience, while driving financial performance of the program . Works with Market and Shared Services stakeholders to achieve Market and ... $1 billion, respectively. + Executively manages APP with more than 165,000 Medicare members and annualized revenue totaling $2.2+ billion, representing 15%+ of the… more
- CVS Health (New York, NY)
- …and affordable. **Position Summary** CVS Health is looking for a technical product manager to join the Multi-Carrier Solutions team, an exciting and fast-paced new ... growth area within the organization. As a technical Product Manager & Adobe Target Developer, you will lead the...every day * MBA or other relevant graduate degree Medicare experience is a plus, not required **Education** Bachelor's… more
- Unilever (Englewood Cliffs, NJ)
- …claims trends, develop strategies for cost mitigation, analyze current patterns of program usage to evaluate effectiveness, ensure adherence to contracts. + Leverage ... industry surveys. + Develop market competitive as well as progressive policy and program recommendations for review by management. + Develop and deliver a retiree… more
- VNS Health (Manhattan, NY)
- …Medical, Dental, Vision, Life and Disability + Employer-matched 401k retirement saving program + Personal and financial wellness programs + Pre-tax flexible spending ... (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement for qualifying degrees +...dates and outcomes as needed. + Offers assignment of Medicare assistance as needed. + Responds to inquiries regarding… more
- Novo Nordisk (Massapequa, NY)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- 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
- CenterWell (Hauppauge, NY)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more
- VNS Health (Manhattan, NY)
- …+ Completes, reports including Key Volume Drivers, schedule of Accounts Receivable, Program Highlight (Actual vs. Budget) and A/R monthly Aging report. + Works ... with Manager to financially plan for new programs by addressing...references in year-end audit. + Provides analytical support to Senior Financial Management and other Finance staff, as needed.… more
- CenterWell (Hauppauge, NY)
- …equivalent Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months Must meet applicable state certification ... the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. At least one year experience in the last 24 months as a… more