• Lundbeck (New York, NY)
    …to: business planning and performance metrics, resource planning and allocation, managed market access and pull-through, succession and talent development, and ... more
    HireLifeScience (03/07/25)
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  • Managed Care Leader

    WTW (New York, NY)
    …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... more
    WTW (01/24/25)
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  • Pharma Field Sales - Obesity Care

    Novo Nordisk (Yorktown Heights, NY)
    …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... more
    Novo Nordisk (02/20/25)
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  • Director, Corporate Accounts

    Mitsubishi Chemical Group (Jersey City, NJ)
    … that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy for ... more
    Mitsubishi Chemical Group (02/11/25)
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  • Clinical Pharmacist, Medical Care At Home…

    VNS Health (Manhattan, NY)
    …+ Doctorate in Pharmacy (PharmD) required Work Experience: + Minimum of five years of Managed Care Pharmacy experience required + Experience in a managed ... more
    VNS Health (03/04/25)
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  • Senior Care Manager (RN)

    Centene Corporation (New York, NY)
    …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... more
    Centene Corporation (03/06/25)
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  • Care Manager

    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 ... more
    VNS Health (02/21/25)
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  • Clinical Care Manager (RN) -- CMO

    VNS Health (Manhattan, NY)
    …Experience: + Minimum two years of experience in health related field required + Care management and/or managed care experience preferred + Proficiency in ... more
    VNS Health (01/14/25)
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  • Health Homes Care Manager

    Graham Windham (Bronx, NY)
    …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... more
    Graham Windham (12/17/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (North Bergen, NJ)
    …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... more
    Hackensack Meridian Health (02/06/25)
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  • Family Care Coordination Assistant Director

    City of New York (New York, NY)
    …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. ... more
    City of New York (02/12/25)
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  • Healthcare Payment & Financing Innovation Senior…

    City of New York (New York, NY)
    …impact of the 2022-2027 NYS Medicaid 1115 Waiver on public health outcomes. - Lead managed care collaboration initiatives for COVID-19 management and ... more
    City of New York (02/12/25)
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  • Director of Dental Insurance Strategy

    NYU Rory Meyers College of Nursing (New York, NY)
    …also be responsible for collaboration and communication between commercial insurance and managed care companies and key internal stakeholder within NYU ... more
    NYU Rory Meyers College of Nursing (01/08/25)
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  • Manager, Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …Grievance and Appeals or related area such as medical or utilization management in a Managed Care setting required + Experience in a supervisory role preferred + ... more
    VNS Health (03/05/25)
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  • Grievance & Appeals Specialist, Clinical

    VNS Health (Manhattan, NY)
    …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... more
    VNS Health (02/07/25)
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  • AVP, Medicaid Proposal Strategy - Remote

    Molina Healthcare (Yonkers, NY)
    …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... more
    Molina Healthcare (02/16/25)
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  • Account Resolution Specialist

    Prime Healthcare (Denville, NJ)
    …Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... more
    Prime Healthcare (03/05/25)
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  • Account Resolution Specialist

    Prime Healthcare (Denville, NJ)
    …Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... more
    Prime Healthcare (03/05/25)
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  • Billing Specialist

    Prime Healthcare (Denville, NJ)
    …Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... more
    Prime Healthcare (01/29/25)
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  • Assistant Vice President Financial Planning…

    Mount Sinai Health System (New York, NY)
    …+ Oversee the cost model development and calculations at each facility + Work with managed care , finance and reimbursement staff on an ongoing basis to maintain ... more
    Mount Sinai Health System (02/21/25)
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