- Cordis (New York, NY)
- …**We are the people behind the people who keep saving lives.** Come be a vital member of the Sales team at Cordis! The **Territory Manager ** position offers you ... + Bachelor's degree or 4+ years of related work experience + 5+ years of sales experience ,...are inclusive, equitable and welcoming. **_Cordis customers that receive Medicare /Medicaid funding may be subject to federal COVID-19 workforce… more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer ... gaining in-depth insights into the underlying factors shaping the member experience . The role extends beyond observation... experience data, to influence the long-term experience strategy of Medicare . + Performs other… more
- Molina Healthcare (Yonkers, NY)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... member to ensure needs are met and member is having a positive plan experience ....manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in ... the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on… more
- FlexStaff (New York, NY)
- …175308 FlexStaff is seeking a _Nurse Practitioner with DEA Registration and NPI for Medicare & Medicaid Services (CMS)_ to work remote on a temporary assignment for ... Enforcement Administration (DEA), and NPI by the Centers for Medicare & Medicaid Services (CMS) are a must. *...* Minimum of two (2) years of Care Planning Experience in a certified home health agency (CHHA), long-term… more
- Molina Healthcare (Yonkers, NY)
- …be licensed for the state of South Carolina and or compact license. Care Manager RN will work with Medicaid/ Medicare SC population completing assessments, care ... is a fast-paced position and productivity is important. Preferred experience working with a Behavioral Health population and/or Waiver...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member … more
- Danaher Corporation (New York, NY)
- …improving health care through fast, accurate, molecular diagnostic systems and tests. As a member of our team, you'll get to make an immediate, measurable impact on ... (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer… more
- Amgen (New York, NY)
- …General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of ... transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account … more
- Northwell Health (Lake Success, NY)
- …interprets and communicates federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. + Provides general compliance education and support to ... Degree required, or equivalent combination of education and related experience . + 1-3 years of relevant experience ,...may be modified in the future.When determining a team member 's base salary and/or rate, several factors may be… more
- Centers Plan for Healthy Living (New York, NY)
- …(Toishanese or Toisanese), Fuzhounese , Hakka dialect) + 3 plus years of, Medicare or Sales experience . SCOPE INFORMATION # Direct Reports: Director of ... Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general… more
- Option Care Health (Manhattan, NY)
- …expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Centene Corporation (New York, NY)
- …work experience in a related environment with minimum one year experience in a supervisor/ manager capacity.** Pay Range: $68,700.00 - $123,700.00 per ... with an emphasis on regulatory reporting and data-driven analysis. Key areas of experience include: + **Regulatory Cost Reporting :** + Familiarity with New York… more
- Elevance Health (New Hyde Park, NY)
- …accommodation is granted as required by law. The **Actuarial Analyst III** supports Medicare Advantage pricing and bid development within the Medicare Actuarial ... and resolve issues quickly to maintain model integrity. + Experience Analysis: Conduct experience studies to support...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Yonkers, NY)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The… more
- Elevance Health (New York, NY)
- …state-specified certification based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or virtually ... - RN Telehealth** is responsible for overall management of member 's case within the scope of licensure; provides supervision...Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities,… more
- Elevance Health (New Hyde Park, NY)
- …actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties ... develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining...(CAS) actuarial exams and a minimum of 1-year related experience ; or any combination of education and experience… more
- 32BJ Benefit Funds (New York, NY)
- …OT per business needs) Summary: Provide confidential retirement counseling as a case manager to active, inactive, disabled, and retired members of a labor union; ... rules and communicate pension application procedures and requirements for member retirements, pre-retirement surviving spouses, and post-retirement surviving spouses.… more
- Molina Healthcare (Yonkers, NY)
- …setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness and medical ... program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the… more
- Mount Sinai Health System (New York, NY)
- …well with team members. Participate and promote clinical and interdisciplinary team member collaboration to common goals. + Experience in clinical ... 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… more
- Molina Healthcare (Yonkers, NY)
- …markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight ... National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the...services. Required Qualifications * At least 3 of relevant experience , including 2 years of medical practice experience… more
