• Medicaid Managed Care

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... more
    Abbott House (03/08/25)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... more
    City of New York (02/12/25)
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  • Medicaid Unit Supervisor

    City of New York (New York, NY)
    …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... more
    City of New York (02/12/25)
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  • Intake Liaison , Part Time

    VNS Health (Manhattan, NY)
    …preferred + Knowledge of the Community Medicaid process, including eligibility for managed long term care and the relevant coverage codes set by NYS ... more
    VNS Health (02/22/25)
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  • Patient Access Liaison

    Grifols Shared Services North America, Inc (Newark, NJ)
    …access and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial) Champion and manage the ... more
    Grifols Shared Services North America, Inc (02/25/25)
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  • Associate Counsel

    New York State Civil Service (New York, NY)
    …proposals to amend the State's legislation, regulations, or one of the components of Medicaid Managed Care contracts: o Conducts research, reviews, and ... more
    New York State Civil Service (02/12/25)
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  • Casa Director

    City of New York (New York, NY)
    …OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... more
    City of New York (02/12/25)
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  • Audit Reviewer

    City of New York (New York, NY)
    Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... more
    City of New York (02/12/25)
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  • Unit Clerk

    City of New York (New York, NY)
    …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... more
    City of New York (02/12/25)
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  • Medical Director (New York)

    Molina Healthcare (New York, NY)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... more
    Molina Healthcare (03/04/25)
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  • RN Director of Clinical Assessment & Intake-…

    FlexStaff (Bayside, NY)
    …years in care /case management, disease management, or related fields (preferably within managed care , home care , or community health organizations). - At ... more
    FlexStaff (03/04/25)
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  • Field Monitor, Quality Control Unit

    City of New York (New York, NY)
    …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... more
    City of New York (02/12/25)
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  • Healthcare Payment & Financing Innovation Manager,…

    City of New York (New York, NY)
    …commercial payors at the federal and state levels, and the evolution of managed care . The regulation and financing of community-based organizations (CBO's) at ... more
    City of New York (02/12/25)
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  • Director of Sales Operations and Support

    VNS Health (Manhattan, NY)
    …operations experience. required + Minimum of two years of management within a managed care environment required + Experience marketing to a culturally diverse ... more
    VNS Health (02/01/25)
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  • Utilization and Appeals Management Analyst

    Catholic Health Services (Melville, NY)
    …(ie, Access\MS-SQL); EPIC, and other reporting and database tools. Sound knowledge of Medicaid , Medicare and managed care requirements Must be Self-directed ... more
    Catholic Health Services (02/14/25)
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  • Chief Medical Officer, Health Plans

    VNS Health (Manhattan, NY)
    …+ Minimum five years of experience in clinical medicine, including three years in managed care , and application of evidence based medical necessity criteria and ... more
    VNS Health (02/19/25)
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  • Director of Policy & Legal/ Healthcare…

    City of New York (New York, NY)
    …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models. - Price ... more
    City of New York (02/12/25)
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  • Case Manager, Health Home Programs

    CAMBA (Brooklyn, NY)
    …+ Provide all required information for weekly/monthly/quarterly/annual reports (eg # of clients in managed care programs, # of clients housed, etc). + Act as ... more
    CAMBA (01/19/25)
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  • Member Advocate II

    Centene Corporation (New York, NY)
    …Experience in working with diverse populations. Knowledge of health care , managed care , Medicare or Medicaid . Claims billing/coding knowledge preferred. ... more
    Centene Corporation (03/04/25)
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  • Data Science Analyst III - Digital and Technology…

    Mount Sinai Health System (New York, NY)
    …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... more
    Mount Sinai Health System (03/11/25)
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