- Novo Nordisk Inc. (New York, NY)
- …years' experience in a health -related system, pharmaceutical company, or managed care environment required Relevant clinical and/or therapeutic experience ... and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific… more
- Eisai, Inc (Nutley, NJ)
- …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... job responsibilities include: designing, implementing and evaluating the marketing plan ; leading management and stakeholder reviews of plans; monitoring performance… more
- Eisai, Inc (Nutley, NJ)
- …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... and virtual such as a virtual desktop) in the organization are managed and maintained.Ensures a clear understanding of: incidents vs enhancement requests vs… more
- Eisai, Inc (Nutley, NJ)
- …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... teams.Oversee provision of end-user services, including technical support services.Ensure managed service partners are meeting established SLAsApprove and oversee… more
- Eisai, Inc (Nutley, NJ)
- …benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that ... job responsibilities include: designing, implementing and evaluating the marketing plan ; leading management and stakeholder reviews of plans; monitoring performance… more
- VNS Health (Manhattan, NY)
- …coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case ... days of paid time off and 9 company holidays Health insurance plan for you and your...one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health… more
- VNS Health (Manhattan, NY)
- …and evaluates Utilization and Care Management metrics specific to Behavioral health services across all plan types as necessary. This process includes ... care in the MCO population. Collaborates with other Plan staff in liaising with social, governmental, health... management Director or above leadership role within a managed care organization requiredProven experience in developing… more
- VNS Health (Manhattan, NY)
- …of tele-management process and its value for patients/members, medical providers, health care partners and the organization. Maintains excellent communication ... Relevant degree needed for professional licensure requiredMaster's Degree in health care related field preferredWork Experience:Minimum of three… more
- VNS Health (Brooklyn, NY)
- …VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life ... days of paid time off and 9 company holidays Health insurance plan for you and your...referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record… more
- Weill Cornell Medical College (New York, NY)
- …the liaison for research and resolution of issues and problems related to health plan network of managed care contracted plans. The specialist also works ... Title: Managed Care Specialist Location: Midtown Org...+ Develops and implements communication and education strategy on health plan policies and issues for PO… more
- VNS Health (Manhattan, NY)
- …Work Experience: + Minimum five years of progressively responsible actuarial experience in a Health Plan / Managed Care organization or similar ... of paid time off and 9 company holidays + Health insurance plan for you and your...care begins with you. Together, we will revolutionize health care in the home and community.… more
- WTW (New York, NY)
- …our two business segments, Health , Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of ... Willis Towers Watson (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care … more
- WMCHealth (Valhalla, NY)
- …Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Managed Care -WMC Health Union: No Position: Full ... care payers on escalated managed care contractual issues on behalf of WMC Health... Insurance + Dental + Vision + Retirement Savings Plan + Flexible Savings Account + Paid Time Off… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary... care placement changes including: - Access to health care - Facilitate a single case ... contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must...needed services and assist in provider selection Coordinate with health care providers, including school and community-based… more
- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care Specialist is ... responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must...and Abilities Required: + Minimum 5 years' experience in health insurance, skilled nursing home billing is required +… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Aug 15, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... are** Together, we're on a mission to make good health more affordable and accessible, to help millions around...to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for… more
- Martin's Point Health Care (New York, NY)
- Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and ... Point employees are on a mission to transform our health care system while creating a healthier..."Great Place to Work" since 2015. Position Summary The Health Plan Quality Community Health … more
- VNS Health (Manhattan, NY)
- OverviewOversees and leads the development, implementation and strategic oversight of VNS Health Plan 's Quality programs and improvement initiatives to ensure ... levels of clinical quality and member experience across all Health Plan products. + Monitors and analyzes...years of progressive leadership in quality improvement with specific managed care experience with (5) years of… more
- Molina Healthcare (New York, NY)
- …into Government Programs such as Medicaid/Medicaid Managed Care , Child Health Plus and Essential Plan . Additionally, the MFE will assist in enrollment ... assists in selection of the appropriate health plan . The Enroller provides information on managed ...into Medicaid/Medicaid Managed Care , Child Health Plus the Essential Plan and Qualified… more
- VNS Health (Manhattan, NY)
- …needs. + Clinical expertise in geriatrics, Long Term care and Managed care experience preferred CAREERS AT VNS Health The future of care begins ... functioning to identify the individual's needs; develops a comprehensive care plan that addresses those needs. +...services in accordance with Health Plans Community Care standards and Managed Long Term … more
