- Molina Healthcare (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
- CVS Health (Albany, NY)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Rochester, 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
- Elevance Health (East Syracuse, NY)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Albany, NY)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… 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
- CVS Health (Albany, NY)
- …the strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise ... make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will… more
- Molina Healthcare (NY)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Elderwood (Buffalo, NY)
- …$100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team ... retirement plan with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities… more
- Trinity Health (Schenectady, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...in Latham, 385 Watervliet Shaker Road We are a Program of All-Inclusive Care for the Elderly (PACE)--a unique… more
- Trinity Health (Latham, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding ... opportunity for an RN Case Manager to work out of our 385 Watervliet Shaker...Watervliet Shaker Road, Latham location! PACE is a unique program on the forefront of trends in healthcare, combining… more
- Centene Corporation (New York, NY)
- …enhance member and provider experience, while driving financial performance of the program . Works with Market and Shared Services stakeholders to achieve Market and ... $1 billion, respectively. + Executively manages APP with more than 165,000 Medicare members and annualized revenue totaling $2.2+ billion, representing 15%+ of the… 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
- Elderwood (North Creek, NY)
- Salary $22.40 - $33.60 / hour Overview Join Our Team as an Business Office Manager at Elderwood at North Creek! Business Office Manager Overview: + The Business ... manages facility petty cash accounts and resident accounts. The Business Office Manager is responsible for the maintenance of census, admission, re-admission and… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Mathematica (Albany, NY)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- VNS Health (Manhattan, NY)
- …Medical, Dental, Vision, Life and Disability + Employer-matched 401k retirement saving program + Personal and financial wellness programs + Pre-tax flexible spending ... (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement for qualifying degrees +...dates and outcomes as needed. + Offers assignment of Medicare assistance as needed. + Responds to inquiries regarding… more
- Trinity Health (Latham, NY)
- …work out of our 385 Watervliet Shaker Road, Latham location! PACE is a unique program on the forefront of trends in healthcare, combining an insurance role (we are ... the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare...hospital utilization and communicates promptly to the RN Case Manager and PACE primary care provider. + Updates RN… more
- Molina Healthcare (NY)
- …Clinical Systems, Medical Economics, Market Engagement, etc. to ensure efficient and effective program delivery + Package material for senior leaders, up to and ... Economics and Finance teams, drive, plan and manage a comprehensive program focused on identifying, defining, designing, implementing and tracking performance for… more
- Elevance Health (East Syracuse, NY)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more