• 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)
    - Save Job - Related Jobs - Block Source
  • Senior Vice President, Managed Care

    Hackensack Meridian Health (Edison, NJ)
    …** at Hackensack Meridian _Health_ includes: + **Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its ... more
    Hackensack Meridian Health (02/07/25)
    - Save Job - Related Jobs - Block Source
  • Senior Managed Care Analyst…

    RWJBarnabas Health (Oceanport, NJ)
    Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas ... more
    RWJBarnabas Health (01/27/25)
    - Save Job - Related Jobs - Block Source
  • Social Work Care Coordinator

    VNS Health (Manhattan, NY)
    care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... more
    VNS Health (02/12/25)
    - Save Job - Related Jobs - Block Source
  • Social Work Care Coordinator

    VNS Health (Manhattan, NY)
    care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... more
    VNS Health (02/11/25)
    - Save Job - Related Jobs - Block Source
  • Manager Care Coordination

    VNS Health (Manhattan, NY)
    Managed Long Term Care health plans, preferred + Experience in a managed care environment, preferred + Experience in excel, preferred CAREERS AT VNS ... more
    VNS Health (02/07/25)
    - Save Job - Related Jobs - Block Source
  • Care Coordinator, Registered Nurse (RN)…

    Hackensack Meridian Health (Edison, NJ)
    …applicable. + Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed . + Other duties and/or projects as assigned. + Adheres to HMH ... more
    Hackensack Meridian Health (01/21/25)
    - Save Job - Related Jobs - Block Source
  • Office Coordinator - Wound Care Center…

    Hackensack Meridian Health (Edison, NJ)
    …knowledge and understanding of the different types of commercial carriers and managed care organizations, + effectively communicating specifics to persons ... more
    Hackensack Meridian Health (01/23/25)
    - Save Job - Related Jobs - Block Source
  • 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 (02/11/25)
    - Save Job - Related Jobs - Block Source
  • 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 (02/09/25)
    - Save Job - Related Jobs - Block Source
  • 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 (01/28/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Nurse Navigator - Transitions of Care

    Hackensack Meridian Health (Edison, NJ)
    …(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey ... more
    Hackensack Meridian Health (01/18/25)
    - Save Job - Related Jobs - Block Source
  • Provider Contract/Cost of Care Consultant

    Elevance Health (Woodbridge, NJ)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... more
    Elevance Health (02/08/25)
    - Save Job - Related Jobs - Block Source
  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... more
    Hackensack Meridian Health (01/17/25)
    - Save Job - Related Jobs - Block Source
  • Director, Care Management

    Community Health Action of Staten Island (Staten Island, NY)
    …in lieu of some years of experience listed above. + Advanced knowledge of Medicaid/ Managed care billing is a plus. + Advanced computer skill, specifically ... more
    Community Health Action of Staten Island (02/04/25)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Specialist, Grievance and Appeals

    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 (01/23/25)
    - Save Job - Related Jobs - Block Source