- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist , Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is ... and issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract Development, the Account… more
- MSC Industrial Supply Co. (White Plains, NY)
- …Work Location : White Plains, NY BRIEF POSITION SUMMARY: The Vendor Managed Inventory (VMI) Specialist ensures customer satisfaction through solutions by ... North American distributor of metalworking and maintenance, repair, and operations (MRO), products and services. We offer more than...MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as… more
- Guardian Life (New York, NY)
- The RIA Operations Specialist will serve as the expert on all aspects of our managed account model management and trading platform, as well as all associated ... custody, clearance, and order execution processing. The Operations Specialist will intimately understand how our...is preferred. **Nice to have** + Experience in the managed account space, specifically with Envestnet or Orion systems… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... appeals or related area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written communication skills required +… more
- Staffing Solutions Organization (New York, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... clients and the people they serve. **Senior Healthcare Program Specialist - NYC** **DPDM - 1052** **Summary** The Bureau...with the HH Program Liaisons to support Health Home operations and program initiatives as follows: + Plans, coordinates… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- CenterLight Health System (Flushing, NY)
- …Experience: Eight or more years of insurance experience within a healthcare or managed care setting (preferred) Claims adjudication experience Knowledge of MLTC/ ... JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight… more
- Northwell Health (New York, NY)
- …to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing, ... managed care participation, claims payment, demographic changes, referrals, and accessibility....by senior leadership; collaborates with network staff to facilitate operations . + mentioned here, but considered related are not… more
- S&P Global (New York, NY)
- …focused on partnering with clients to solve the regulatory challenges that impact operations , legal, and compliance teams. The team is supported by our commercial ... which is responsible for delivering and maintaining the Regulatory Compliance products and managed services. You will be working with both new and existing clients… more
- VNS Health (Manhattan, NY)
- …+ Minimum of two years of pharmacy experience Required + Experience in a managed care and/or clinical care setting and geriatric pharmacy management, ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
- Staffing Solutions Organization (New York, NY)
- …Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse ... a reflection of our clients and the people they serve. **Healthcare Organizational Operations Administrator - Albany, NY** **DPDM - 1274** **Summary:** The Bureau of… more
- Veterans Affairs, Veterans Health Administration (Brooklyn, NY)
- …functioning of the Home sleep program, Pulmonary Function Testing and sleep pathways of care . The Sleep RT will provide clinical support to The Director of Sleep ... and other personnel to assist in the administrative, technical and clinical operations of the VA Comprehensive Sleep Center. The incumbent performs duties including… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: Administrative, coordination, communications, education Preferred: Training, Managed Care , Sales Specific Technical Skills Required ... & Development team, handle office duties and optimize office operations . The Training Coordinator will provide oversight of the...+ Able to work in a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge… more
- RWJBarnabas Health (Somerset, NJ)
- …the care of the population served, as well as experience in clinical care operations , case management and/or patient throughput + Must have a working ... of incoming and outgoing transfers for higher level of care . This position requires securing physician specialist ...in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice… more
- Agiliti Health (Oakland, NJ)
- **POSITION** **SUMMARY** The **Specialty Equipment Specialist ** is responsible for driving strategic sales initiatives in an assigned territory - to include ... identifying, qualifying, and closing new business bookings opportunities. The SES Specialist is accountable for designing and executing a territory plan centered… more
- BelovED Community & Empowerment Academy Charter Sc (Jersey City, NJ)
- …provide support. School Business Administrators oversee a school's accounting, business operations and finances, compliance with governing laws and regulations, and ... school Business Office personnel, including the school's Human Resource Specialist , who handles payroll, benefits administration, on-boarding and credentials… more
- JPMorgan Chase (New York, NY)
- …firm with assets of more than $3.7 trillion, over 260,000 employees, and operations in over 60 countries. It operates across four business segments including Asset ... Outsourced Chief Investment Office ("OCIO team")** The OCIO team is a specialist group of portfolio managers providing highly customized investment advice and… more
- Bayer (Whippany, NJ)
- …and to positively interact with external customers, medical thought leaders, and academic and managed care communities; + Must have the ability to travel as ... key pre-clinical and clinical trial design elements, including statistical considerations, operations and interpretation of these activities as well as regulatory… more