• Manager , Healthcare Services

    Molina Healthcare (Yonkers, NY)
    …of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members,... responsible for supervision and coordination of daily integrated healthcare service activities. + Ensures adequate staffing… more
    Molina Healthcare (03/07/25)
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  • Senior Inside Sales Manager

    EPAM Systems (New York, NY)
    …industry and at least three (3) years supporting sales motions within the Healthcare services and Life Sciences industries + Proven experience supporting ... Drive sales success in Healthcare and Life Sciences, as a **Senior Inside Sales Manager ** ! Manage client relationships, exceed quotas, and craft tailored… more
    EPAM Systems (03/21/25)
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  • Supervisor, Healthcare Services

    Molina Healthcare (New York, NY)
    …barriers that hinder effective patient care. May coordinate for medical service /appointments once discharge is complete and make the necessary community resource ... Further details to be discussed during our interview process. Remote - requires NY LCSW, LMHC or LMSW license Work...and efficiency of the health management level 1 program operations/ services . + Training: Assists in the coordination of orienting… more
    Molina Healthcare (03/21/25)
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  • Mgr, Member Services (Program…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... while demonstrating Molina values in their actions. Provides product and service information and identifies opportunities to improve our member and provider… more
    Molina Healthcare (02/01/25)
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  • Program Manager , HCS RN, LMSW, LMHC, LMFT,…

    Molina Healthcare (New York, NY)
    …improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members,...License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (03/21/25)
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  • BH Case Manager Complex Adult Care LMHC,…

    Molina Healthcare (Bronx, NY)
    **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... and cost-effective based on the severity of illness and the site of service . This position will be supporting our Complex Adult Behavioral Health Case Management… more
    Molina Healthcare (03/21/25)
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  • Registered Nurse Case Manager Dsnp, Ltss…

    Molina Healthcare (Manhattan, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... on the severity of illness and the site of service . This position will be supporting our Senior Whole...apply. Work hours: Monday through Friday 8:00am- 5:00PM EST Remote position within the tri-state area with field travel… more
    Molina Healthcare (03/15/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Yonkers, NY)
    …Mgr, HCS Clinical Policy provides operational management and oversight to integrated Healthcare Services (HCS) teams responsible for providing Molina ... for supervision and coordination of enterprise clinical policy to drive integrated healthcare service activities. + Ensures adequate staffing and service more
    Molina Healthcare (02/14/25)
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  • Manager , Provider Engagement Team…

    Molina Healthcare (Yonkers, NY)
    …and relevant experience **Required Experience** * Min 5 years experience in managed healthcare administration and/or Provider Services . * Min 5 years experience ... * Communicates comfortably and effectively with all levels of a healthcare organization, within both the corporate and regional market environments.. **Required… more
    Molina Healthcare (03/16/25)
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  • Sr Business Solutions Consultant - Process…

    Molina Healthcare (New York, NY)
    …key stakeholders in business domain across Health plans and Corporate Healthcare functions, * Requires highest level understanding of organization's business and ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… more
    Molina Healthcare (03/20/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Yonkers, NY)
    …Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care. + Applies appropriate… more
    Molina Healthcare (02/09/25)
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  • Prog Mgr, Provider Quality and Risk Adjustment-…

    Molina Healthcare (New York, NY)
    **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies. **Job Duties** *… more
    Molina Healthcare (02/23/25)
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  • Lead Reports Developer - Power…

    Molina Healthcare (Yonkers, NY)
    …Creates reports to meet user requirements using Microsoft SQL Reporting Services . Writes and maintains database stored procedures. Assists with development, ... data imports, and data exports using Microsoft SQL Information Services (SSIS) and Microsoft SQL Reporting Services ...+ Performs other duties as assigned by the Analytics Manager . + Completes training courses, successfully, set forth by… more
    Molina Healthcare (01/21/25)
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  • Engineer, Big Data - SQL/Databricks/Data…

    Molina Healthcare (Yonkers, NY)
    …optimal solution * Proven experience on Hadoop cluster components and services (like HDFS, YARN, ZOOKEEPER, AMBARI/CLOUDERA MANAGER , SENTRY/RANGER, KERBEROS, ... Java/Scala/Python, etc. * Experience implementing Web application and Web Services APIs (REST/SOAP) **Preferred Education** Master's Degree **Preferred Experience**… more
    Molina Healthcare (01/21/25)
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  • Senior Manager - Biocompatibility…

    Stryker (Mahwah, NJ)
    **Senior Manager - Biocompatibility and Toxicology ( Remote )** Stryker is hiring a Senior Manager - Biocompatibility and Toxicology to support our Trauma & ... critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program. Financial… more
    Stryker (02/22/25)
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  • Clinical Evaluation Manager -mostly…

    VNS Health (Manhattan, NY)
    …and identifies solutions that promote high quality and cost-effective health care services . Manages providers, members, team, or care manager generated requests ... medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations. Delivers timely… more
    VNS Health (03/07/25)
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  • Clinical Evaluation Manager , Utilization…

    VNS Health (Manhattan, NY)
    …and identifies solutions that promote high quality and cost-effective health care services . Manages providers, members, team, or care manager generated requests ... medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations. Delivers timely… more
    VNS Health (03/04/25)
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  • Auditor, Call Center Quality (Bilingual in Chinese…

    Molina Healthcare (Yonkers, NY)
    …procedures for the Call Center division. This position will help preserve service excellence through monitoring and assessing customer interactions of Call Center ... exercises. + Participates in internal listening sessions. + Assists Quality Manager in providing standard weekly and monthly reporting within predetermined reporting… more
    Molina Healthcare (03/07/25)
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  • Senior Manager , Partner Sales (Google…

    EPAM Systems (New York, NY)
    EPAM is looking for a **Senior Manager , Partner Sales (Google Cloud - CPGR)** to join our growing North American team. This critical go-to-market role will support ... and drive GCP revenue through our Google Cloud partnership and EPAM-related services in North America, specifically within the Consumer Packaged Goods and Retail… more
    EPAM Systems (02/21/25)
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  • Senior Salesforce Alliances Manager

    EPAM Systems (New York, NY)
    …workflows and corporate bonds? Here at EPAM, we are hiring a **Senior Alliances Manager ** to join our team and help oversee our Salesforce partnership here in North ... Insurance (Subsidized) + Health Savings Account + Flexible Spending Accounts ( Healthcare , Dependent Care, Commuter) + Short-Term and Long-Term Disability (Company… more
    EPAM Systems (03/06/25)
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