• VNS Health (Brooklyn, NY)
    …VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life ... days of paid time off and 9 company holidays Health insurance plan for you and your...referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record… more
    JobGet (09/06/24)
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  • Novo Nordisk Inc. (New York, NY)
    …years' experience in a health -related system, pharmaceutical company, or managed care environment required Relevant clinical and/or therapeutic experience ... and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific… more
    HireLifeScience (08/23/24)
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  • 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 ... days of paid time off and 9 company holidays Health insurance plan for you and your...one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health more
    JobGet (09/10/24)
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  • VNS Health (Manhattan, NY)
    …and evaluates Utilization and Care Management metrics specific to Behavioral health services across all plan types as necessary. This process includes ... care in the MCO population. Collaborates with other Plan staff in liaising with social, governmental, health... management Director or above leadership role within a managed care organization requiredProven experience in developing… more
    JobGet (09/06/24)
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  • VNS Health (Manhattan, NY)
    …of tele-management process and its value for patients/members, medical providers, health care partners and the organization. Maintains excellent communication ... Relevant degree needed for professional licensure requiredMaster's Degree in health care related field preferredWork Experience:Minimum of three… more
    JobGet (09/08/24)
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  • Eisai, Inc (Nutley, NJ)
    …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... job responsibilities include: designing, implementing and evaluating the marketing plan ; leading management and stakeholder reviews of plans; monitoring performance… more
    HireLifeScience (09/10/24)
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  • Eisai, Inc (Nutley, NJ)
    …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... and virtual such as a virtual desktop) in the organization are managed and maintained.Ensures a clear understanding of: incidents vs enhancement requests vs… more
    HireLifeScience (06/28/24)
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  • Eisai, Inc (Nutley, NJ)
    …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... teams.Oversee provision of end-user services, including technical support services.Ensure managed service partners are meeting established SLAsApprove and oversee… more
    HireLifeScience (08/22/24)
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  • Merck & Co. (Rahway, NJ)
    …- $259,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), ... of partners to continuously evaluate performance. Ensures issues are identified and managed through to resolution in a timely manner and deliverables are met… more
    HireLifeScience (09/07/24)
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  • Eisai, Inc (Nutley, NJ)
    …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... job responsibilities include: designing, implementing and evaluating the marketing plan ; leading management and stakeholder reviews of plans; monitoring performance… more
    HireLifeScience (07/25/24)
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  • Merck & Co. (Rahway, NJ)
    …- $213,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), ... of medical device development, design controls and risk managementLed and managed development of DHF (design history file) deliverables for medical devicesRecognized… more
    HireLifeScience (08/27/24)
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  • Merck & Co. (Rahway, NJ)
    …- $213,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family), ... and timelines are clear, resources are appropriately planned and managed , communications within and external to the team are...and geographical parameters as set forth in the Summary Plan Description (SPD) of your separation package, then you… more
    HireLifeScience (08/17/24)
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  • Managed Care Specialist

    Weill Cornell Medical College (New York, NY)
    …the liaison for research and resolution of issues and problems related to health plan network of managed care contracted plans. The specialist also works ... Title: Managed Care Specialist Location: Midtown Org...+ Develops and implements communication and education strategy on health plan policies and issues for PO… more
    Weill Cornell Medical College (09/05/24)
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  • Supervisor, Actuary

    VNS Health (Manhattan, NY)
    …Work Experience: + Minimum five years of progressively responsible actuarial experience in a Health Plan / Managed Care organization or similar ... of paid time off and 9 company holidays + Health insurance plan for you and your...care begins with you. Together, we will revolutionize health care in the home and community.… more
    VNS Health (09/04/24)
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  • Senior Contracting Specialist Managed

    Hackensack Meridian Health (Edison, NJ)
    …the department.** **Responsibilities** A day in the life of a **Senior Contracting Specialist Managed Care ** at Hackensack Meridian Health includes: + ... a leader of positive change. The **Senior Contracting Specialist Managed Care ** will develop and negotiate owned...contract negotiation skills within a hospital, medical group, or health plan environment. + Contract Development: Address… more
    Hackensack Meridian Health (08/06/24)
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  • Managed Care Leader

    WTW (New York, NY)
    …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care more
    WTW (07/25/24)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary... care placement changes including: - Access to health care - Facilitate a single case ... contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must...needed services and assist in provider selection Coordinate with health care providers, including school and community-based… more
    Abbott House (07/20/24)
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  • Managed Care Billing Specialist

    The New Jewish Home (Bronx, NY)
    The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...and Abilities Required: + Minimum 5 years' experience in health insurance, skilled nursing home billing is required +… more
    The New Jewish Home (08/24/24)
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  • Senior Managed Care Rebate Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Senior Managed Care Rebate Analyst Date: Aug 15, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... are** Together, we're on a mission to make good health more affordable and accessible, to help millions around...to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for… more
    Teva Pharmaceuticals (08/16/24)
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  • Health Plan Quality Community…

    Martin's Point Health Care (New York, NY)
    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and ... Point employees are on a mission to transform our health care system while creating a healthier..."Great Place to Work" since 2015. Position Summary The Health Plan Quality Community Health more
    Martin's Point Health Care (08/27/24)
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