- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Gilead Sciences, Inc. (Queens County, NY)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- CVS Health (New York, NY)
- …and affordable. **Position Summary** CVS Health is looking for a technical product manager to join the Multi-Carrier Solutions team, an exciting and fast-paced new ... growth area within the organization. As a technical Product Manager & Adobe Target Developer, you will lead the...every day * MBA or other relevant graduate degree Medicare experience is a plus, not required **Education** Bachelor's… more
- Molina Healthcare (New York, NY)
- …Please include this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- VNS Health (Manhattan, NY)
- …CFEEC scheduled dates and outcomes as needed. * Offers assignment of Medicare assistance as needed. * Responds to inquiries regarding pre-enrollment issues, ... eligibility and program information to ensure service satisfaction. Works with our...for new enrollees start of care authorizations and care manager assignment. * Assists in the monitoring and updating… more
- VNS Health (Manhattan, NY)
- …CFEEC scheduled dates and outcomes as needed. + Offers assignment of Medicare assistance as needed. + Responds to inquiries regarding pre-enrollment issues, ... eligibility and program information to ensure service satisfaction. Works with our...for new enrollees start of care authorizations and care manager assignment. + Assists in the monitoring and updating… more
- VNS Health (Manhattan, NY)
- …moderately complex issues from other departments. + Escalates issues to manager as needed. Performs various administrative support functions (eg, generating/sending ... an institution, Home Care or Managed Long Term Care Program required + Knowledge of federal and state health...of federal and state health care regulations related to Medicare , Medicaid, managed care, and long term care preferred… more
- Molina Healthcare (Bronx, NY)
- …severity of illness and the site of service. This position will support our Senior Whole Health business. _Senior Whole Health by Molina_ is a Managed Long-Term Care ... or disabled people who are eligible for Medicaid and Medicare . We are looking for Case Managers with a...preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable to… more
- VNS Health (Manhattan, NY)
- …includes management policies, procedures and operational systems for the Medicare /Dual eligible population. + Interfaces/collaborates with Plan staff to monitor ... regional needs assessments and identifying potential Providers for recruitment into program . Manages or assists with department or plans special projects. +… more
- Novo Nordisk (Brooklyn, NY)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… 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 ... Health Practice Optimization Lead (working collaboratively with a Population Health Manager (PHM)) for 6-10 high priority primary care/multispecialty practices. *… more