- 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
- 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
- CVS Health (Wayne, 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
- CVS Health (Montclair, NJ)
- …with members to evaluate the medical needs of the member to facilitate the member 's overall wellness. The ICM care manager develops a proactive plan of care ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...long-term outcomes as well as opportunities to enhance a member 's overall wellness. * Uses clinical tools and information/data… 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
- 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
- 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
- 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
- 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)
- …in Healthcare Quality (CPHQ) or other health care or management certification. * Medicaid/ Medicare population experience . * Clinical experience . To all ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides health plan...services leaders. Required Qualifications * At least 10 years experience in health care, and at least 7 years… more
- Westchester Jewish Community Services (Peekskill, NY)
- …procedures in a mental health or healthcare setting. + Knowledge of Medicare /Medicaid billing policies, including experience with Epace Medicaid eligibility ... Peekskill Clinic. Under the general supervision of the Office Manager , the Clinic Secretary will play a key role...position is $45,000 - $47,000/year. Responsibilities: As a valued member of our team, your responsibilities will include, but… 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