• Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay ... collection systems. Prepare insightful reports and analyses that inform program management and committee decisions. * Work Flexibly: Enjoy...Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D, or Select Health to… more
    VNS Health (03/05/25)
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  • Reg Mgr, Value-Based Prgms

    Molina Healthcare (New York, NY)
    …national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, medical economics/actuaries and local health plan ... + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for marketplace, Medicaid and/or … more
    Molina Healthcare (03/13/25)
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