- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Gilead Sciences, Inc. (Manhattan, NY)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Molina Healthcare (New York, NY)
- …Please include this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- Molina Healthcare (New York, NY)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Centene Corporation (New York, NY)
- …enhance member and provider experience, while driving financial performance of the program . Works with Market and Shared Services stakeholders to achieve Market and ... $1 billion, respectively. + Executively manages APP with more than 165,000 Medicare members and annualized revenue totaling $2.2+ billion, representing 15%+ of the… more
- CVS Health (New York, NY)
- …and affordable. **Position Summary** CVS Health is looking for a technical product manager to join the Multi-Carrier Solutions team, an exciting and fast-paced new ... growth area within the organization. As a technical Product Manager & Adobe Target Developer, you will lead the...every day * MBA or other relevant graduate degree Medicare experience is a plus, not required **Education** Bachelor's… more
- VNS Health (Manhattan, NY)
- …Medical, Dental, Vision, Life and Disability + Employer-matched 401k retirement saving program + Personal and financial wellness programs + Pre-tax flexible spending ... (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement for qualifying degrees +...dates and outcomes as needed. + Offers assignment of Medicare assistance as needed. + Responds to inquiries regarding… more
- Masonicare (Colchester, CT)
- RN Hospice Clinical Manager (Weekend Schedule) Job Location: Colchester, Connecticut RN Hospice Clinical Manager (Weekend Schedule) Masonicare Home Health & ... services and to ensure complete documentation of needed services. Participates in program planning and evaluation activities related to the clinical services of the… more
- Novo Nordisk (Massapequa, NY)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Mount Sinai Health System (New York, NY)
- …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 ... Health Practice Optimization Lead (working collaboratively with a Population Health Manager (PHM)) for 6-10 high priority primary care/multispecialty practices. *… more
- VNS Health (Manhattan, NY)
- …+ Completes, reports including Key Volume Drivers, schedule of Accounts Receivable, Program Highlight (Actual vs. Budget) and A/R monthly Aging report. + Works ... with Manager to financially plan for new programs by addressing...references in year-end audit. + Provides analytical support to Senior Financial Management and other Finance staff, as needed.… more