• 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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  • 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)
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  • 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)
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  • 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)
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  • Pharma Field Sales - Obesity Care

    Novo Nordisk (Little Falls, NJ)
    …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 (02/12/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... more
    Mount Sinai Health System (12/18/24)
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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 (02/11/25)
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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 (02/09/25)
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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 (01/28/25)
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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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  • 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)
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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 (12/04/24)
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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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  • Regional Business Executive GIC- Remote

    AbbVie (New York, NY)
    …that can be brought forward at the regional and national levels. + Work with the Managed Care Team and sales force to optimize the value of payer contracts by ... more
    AbbVie (02/08/25)
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  • Revenue Cycle Analyst

    Hackensack Meridian Health (Hackensack, NJ)
    …are not limited to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care and IT. Duties performed are at multiple sites ... more
    Hackensack Meridian Health (01/24/25)
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