• Merck & Co. (Rahway, NJ)
    …meta-analyses, and economic modelling. Key responsibilities also include development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global ... more
    HireLifeScience (02/01/25)
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  • Merck & Co. (Rahway, NJ)
    …publications.Responsible for study-related contracting, budgets, and vendor/partner management.Develop American Managed Care Pharmacy (AMCP) dossiers for US ... more
    HireLifeScience (02/07/25)
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  • Merck & Co. (Rahway, NJ)
    …technology solutions. The Enterprise Architecture (EA) team is helping to lead this transformation. Our vision is to provide strategic technology decisions ... more
    HireLifeScience (01/29/25)
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  • Managed Care Leader

    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 ... more
    WTW (01/24/25)
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  • Director, Ethics & Compliance Advisor, US…

    Gilead Sciences, Inc. (Parsippany, NJ)
    …understanding of market access functions such as payer contracting, reimbursement, pricing, and managed care . + Invest time and effort in building strong ... more
    Gilead Sciences, Inc. (01/11/25)
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  • Social Work Care Coordinator

    VNS Health (Manhattan, NY)
    care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... more
    VNS Health (02/11/25)
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  • Manager Care Coordination

    VNS Health (Manhattan, NY)
    Managed Long Term Care health plans, preferred + Experience in a managed care environment, preferred + Experience in excel, preferred CAREERS AT VNS ... more
    VNS Health (02/07/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... more
    Mount Sinai Health System (12/18/24)
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  • Director, Corporate Accounts

    Mitsubishi Chemical Group (Jersey City, NJ)
    … that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy for ... more
    Mitsubishi Chemical Group (02/11/25)
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  • Care Manager

    VNS Health (Manhattan, NY)
    …coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case ... more
    VNS Health (02/11/25)
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  • Senior Care Manager (RN)

    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 ... more
    Centene Corporation (02/09/25)
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  • Care Manager

    VNS Health (Manhattan, NY)
    …coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case ... more
    VNS Health (01/28/25)
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  • Clinical Care Manager (RN) -- CMO

    VNS Health (Manhattan, NY)
    …Experience: + Minimum two years of experience in health related field required + Care management and/or managed care experience preferred + Proficiency in ... more
    VNS Health (01/14/25)
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  • Senior Care Manager (RN)

    Centene Corporation (Queens, NY)
    …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... more
    Centene Corporation (02/06/25)
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  • Health Homes Care Manager

    Graham Windham (Bronx, NY)
    …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... more
    Graham Windham (12/17/24)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Morristown, NJ)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... more
    Elevance Health (02/08/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (North Bergen, NJ)
    …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... more
    Hackensack Meridian Health (02/06/25)
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  • Director, Care Management

    Community Health Action of Staten Island (Staten Island, NY)
    …in lieu of some years of experience listed above. + Advanced knowledge of Medicaid/ Managed care billing is a plus. + Advanced computer skill, specifically ... more
    Community Health Action of Staten Island (02/04/25)
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  • Family Care Coordination Assistant Director

    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. ... more
    City of New York (02/12/25)
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  • Healthcare Payment & Financing Innovation Senior…

    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 ... more
    City of New York (02/12/25)
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