- 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. (Manhattan, 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
- Elevance Health (Woodbridge, NJ)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… 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
- 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
- BAYADA Home Health Care (Manchester, NJ)
- …services under the Medicare Part B benefit. The foundation of the program is exceptional clinical care and relationship management as BAYADA clinicians become a ... dedicated **Registered Nurses, RN** to join our **Ocean County Senior Living** team. This office works with **clients in...to its clients, including traditional home care under the Medicare Part A benefit, as well as outpatient therapy… more
- VNS Health (Manhattan, NY)
- …CFEEC scheduled dates and outcomes as needed. + Offers assignment of Medicare assistance as needed. + Responds to inquiries regarding pre-enrollment issues, ... eligibility and program information to ensure service satisfaction. Works with our...for new enrollees start of care authorizations and care manager assignment. + Assists in the monitoring and updating… more
- VNS Health (Manhattan, NY)
- …moderately complex issues from other departments. + Escalates issues to manager as needed. Performs various administrative support functions (eg, generating/sending ... an institution, Home Care or Managed Long Term Care Program required + Knowledge of federal and state health...of federal and state health care regulations related to Medicare , Medicaid, managed care, and long term care preferred… more
- VNS Health (Manhattan, NY)
- …includes management policies, procedures and operational systems for the Medicare /Dual eligible population. + Interfaces/collaborates with Plan staff to monitor ... regional needs assessments and identifying potential Providers for recruitment into program . Manages or assists with department or plans special projects. +… 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