- 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 ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- VNS Health (Manhattan, NY)
- … care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... are action-oriented, time-specific and cost effective. + Implements specific care management activities and or interventions that lead...by operational needs. Clinical expertise in geriatrics, Long Term care and Managed care experience… more
- VNS Health (Manhattan, NY)
- … care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... are action-oriented, time-specific and cost effective. * Implements specific care management activities and or interventions that lead...by operational needs. Clinical expertise in geriatrics, Long Term care and Managed care experience… more
- Novo Nordisk (Yorktown Heights, NY)
- …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... relationships with healthcare providers, positioning Novo Nordisk as a leader in obesity care , understanding the local...to audience needs + Leverage understanding of impact of managed care in the territory and how… more
- VNS Health (Manhattan, NY)
- …of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan. For SelectHealth ETE Only: Experience in ... a recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to meaningfully impact lives.… more
- 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 ... a recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to meaningfully impact lives.… more
- 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 ... State RN license.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- 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 ... OverviewProvides telephonic clinical care management services using evidence-based practices to ensure...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …also be responsible for collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU ... and the implementation and management of commercial insurance and managed care contracts. Qualifications Required Education:Bachelors DegreePreferred… more
- VNS Health (Manhattan, NY)
- …to develop, design, plan, and deliver information systems solutions to meet managed care payor needs. + Functions as lead Business Systems Analyst on team. ... visible projects to understand business needs and challenges of managed care payors and to develop innovative...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- New York University (New York, NY)
- The Managed Care Technical Assistance Center (MCTAC), an initiative funded by the Office of Mental Health, seeks a full time Program Associate to join our team. ... mental health and substance use agencies working with Medicaid, managed care , and new models of value-based...Learning Management Systems manager as needed. Contract Management: + Lead and provide oversight on the administrative management of… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Compliance by: developing a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in ... to managing the terms and conditions of complex contractual rebate obligations to managed care , institutional, retail and wholesale customers for the life of… more
- VNS Health (Manhattan, NY)
- …Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required + Experience in a supervisory role preferred + ... activities for staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- VNS Health (Manhattan, NY)
- …of federal and state health care regulations related to Medicare, Medicaid, managed care , and long term care preferredEffective oral, written and ... OverviewCoordinates enrollment assessment and reassessment activities for VNS Health Managed Long Term Care plan and other health plans, as needed. Works under… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Mount Sinai Health System (New York, NY)
- …or medical economics departments or healthcare provider analytics related to managed care contracting, population management, clinical or financial decision ... **Job Description** The Lead Data Science Analyst is a senior-most analyst,...as scheduled or requested. 11. Engages with the MSHP Managed Care Contracting and Commercialization teams and… more
- Actalent (Queens, NY)
- …diagnostic & treatment clinic preferred. + Customer service experience is required. + Managed long-term care insurance experience is beneficial. + Minimum of one ... RN Care Delivery Manager PLEASE EMAIL ME: JCALDERONHER@ACTALENTSERVICES. COM...like this ! About Actalent Actalent is a global leader in engineering and sciences services and talent solutions.… more
- VNS Health (Manhattan, NY)
- …of eight (8) years of progressive leadership in quality improvement with specific managed care experience with (5) years of progressive managerial experience in ... healthcare required + Extensive knowledge of managed care regulations and quality standards and...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Mount Sinai Health System (New York, NY)
- …preferred) ? + ASHP Accredited PGY-2 Pharmacy Practice Residency preferred (Ambulatory or Managed Care ) + Minimum of five years health-system or managed ... leadership. The Clinical Pharmacy Manager will have direct patient care responsibilities aligned with care delivery goals...at the practices assigned to this role. Manager will lead the design, implementation and evaluation of all related… more