• 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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  • 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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  • 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 (02/21/25)
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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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  • 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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  • 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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  • 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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  • Director of Dental Insurance Strategy

    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 ... more
    NYU Rory Meyers College of Nursing (01/08/25)
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  • Specialist, Grievance and Appeals

    VNS Health (Manhattan, NY)
    …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... more
    VNS Health (01/23/25)
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  • Manager, Grievance and Appeals, RN

    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 + ... more
    VNS Health (12/04/24)
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  • Grievance & Appeals Specialist, Clinical

    VNS Health (Manhattan, NY)
    …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... more
    VNS Health (02/07/25)
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  • Utilization and Appeals Management Analyst

    Catholic Health Services (Melville, NY)
    …and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely ... more
    Catholic Health Services (02/14/25)
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  • AVP, Medicaid Proposal Strategy - Remote

    Molina Healthcare (New York, NY)
    …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... more
    Molina Healthcare (02/16/25)
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  • Assistant Vice President Financial Planning…

    Mount Sinai Health System (New York, NY)
    …+ Oversee the cost model development and calculations at each facility + Work with managed care , finance and reimbursement staff on an ongoing basis to maintain ... more
    Mount Sinai Health System (02/21/25)
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  • Clinical Director, Select Health

    VNS Health (Manhattan, NY)
    …with HIV patients with a focus on public health) required + Strong knowledge of health care delivery systems, managed care , and patient care required + ... more
    VNS Health (01/17/25)
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  • Care Manager - Physical Therapy

    CenterLight Health System (Flushing, NY)
    …may authorize a range and number of community-based services. + Implements specific care management activities and interventions that lead to accomplishing the ... more
    CenterLight Health System (01/08/25)
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  • Health Benefit Rep - Nassau (Spanish)

    Centene Corporation (Hempstead, NY)
    …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... more
    Centene Corporation (01/30/25)
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