- 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
- Centers Plan for Healthy Living (Staten Island, NY)
- …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This...employer group coverage to aid the resident and/or family member to better understand their benefits. + Be knowledgeable… 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
- CVS Health (Old Bridge, NJ)
- …Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified issues to ... long-term outcomes as well as opportunities to enhance a member 's overall wellness. **Our Mission** Join our Aetna team...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… 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 (Staten Island, NY)
- …Commission on Accreditation of Healthcare Organizations (JCAHO), Centers for Medicare and Medicaid Services (CMS), International Health Institute (IHI), Community ... identify at least one potential successor to the Nurse Manager role. + Completes appropriate management conferences. + Oversees...specialized certifications as needed. + 6-8 years of relevant experience and 2-5 years of leadership / management … more
- Northwell Health (Staten Island, NY)
- …companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to ... Certification, preferred. + Minimum of one (1) year related experience , required. Experience in case management and...may be modified in the future.When determining a team member 's base salary and/or rate, several factors may be… 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 (Woodbridge, NJ)
- …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
- 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
- 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
- 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
- Elevance Health (Woodbridge, NJ)
- …Responsibilities** + Complete pharmacy trend and rebate analytics for Medicaid, Medicare and/or Commercial and improve reporting and linkage to financials. + ... field and minimum of 10 years of related professional/management experience ; or any combination of education and experience...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Hackensack Meridian Health (Neptune City, NJ)
- …off to F2F team with appropriate information. + Knowledgeable in current Medicare reimbursement criteria and insurance contracts for the organization product lines. ... is appropriate to assure clean billing and prompt payment. + Verify member eligibility and ensure correct billing information. Contact benefit provider to gather… more
- Allaire Rehab & Nursing (Freehold, NJ)
- …timely manner after a referral is given by a hospital discharge planner, case manager , social worker, physician, or family member . Note: Timely refers to ... we've worked hard to earn. If you're ready for a rewarding career experience , your journey begins here! Hours: Full Time, Primarily remote, occassional weekends,… more
- Mount Sinai Health System (New York, NY)
- …outcomes. Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan ... Work or other professional degree. + Training or prior experience as research coordinator, care navigator or peer advocate,...to all scheduled intakes + Participates as an active member of multidisciplinary team. + Provides ongoing education to… more
