- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... more
- Gilead Sciences, Inc. (Yonkers, NY)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... more
- Stryker (Mahwah, NJ)
- …**What you will do:** As the Senior Manager of Reimbursement and ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status based on ... more
- Molina Healthcare (Yonkers, NY)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... more
- Deloitte (New York, NY)
- Healthcare M&A Strategy & Diligence Senior Manager The US M&A and Restructuring (M&A/R) Offering Portfolio advises our client's as they seek to change the nature ... more
- CVS Health (New York, NY)
- …improving healthcare outcomes for members as well as for the Aetna Medicare STARS/CAHPS team performance, through targeted outreaches focused on closing care gaps, ... 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 ... 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 ... more
- Gentiva (Livingston, NJ)
- …Reimbursement** You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining ... more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... 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 ... 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 ... more