Managed Care Jobs in New York
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Search Results - Managed Care Jobs in New York
New York
is headquartered in downtown Brooklyn
Responsibilities:
Oversees the accounting for all of the managed care programs
Job Responsibilities:
• Interaction with Accounting Manager and Program Directors for development of the yearly budget
• Monitoring variances...
icims.com -
RN Care Manager - Bilingual Candidates Please Apply - $15,000 Sign-On Bonus or Student Loan Assistan
MJHS-New York
Job Description
Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services...
Athari-New York
Maintain current awareness of evolving regulations and interpretations, advisory letters, enforcement letters and policy issues impacting managed care organizations
Continually assess the effectiveness of departmental functioning, including the people...
resume-library.com -
MJHS-New York
Job Description
Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services...
CBOHN-New York
such as coverage, reimbursement, managed care delivery systems, or demonstration projects under section 1115 of the Social Security Act. Candidates without such experience are nonetheless encouraged to apply if they have a strong interest in and willingness...
resume-library.com -
Centene-New York
including subpoenas and court appearances
• Attend federal CMS and state fraud meetings with other managed care organizations, and state and federal employees
Education/Experience: Bachelor's degree in Accounting, Criminal Justice, Finance, Medical...
TAG MedStaffing-New York
policies aligned with industry standards.
Outcomes Management
• Drive improvements in care quality through a solid understanding of population health and managed care principles.
• Oversee Quality Assurance Performance Improvement (QAPI) programs across...
mindmatch.ai -
Tempositions, Inc.-New York
system.
• Submit insurance claims and follow up on claims processing through clearinghouses.
• Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers.
• Verify patient eligibility and coverage across various providers...
Fidelis Care-New York
offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network...
Social Work Care Manager - $15,000 Sign-On Bonus or Student Loan Assistance! for Licensed Social Wor
MJHS-New York
Job Description
Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services...
Fidelis Care-New York
Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
• The HBR interacts...
ProMed Staffing Resources-New York
communication between the Call Center and eligible consumers for enrollment into a managed care health plan
Minimum Qualifications: - NYS RN license, Associate Degree in Nursing and one year of home care experience
Laptop and iPhone are provided....
resume-library.com -
myMDcareers-New York
are welcome. The role involves lots of geriatrics. Managed Care/Medicare Advantage experience is preferred but not required. Normal M-F hours. Very competitive compensation package plus bonus and benefits.
To apply or for details, call Michael at 561-451-2211...
appcast.io -
Tandym Group-New York
management, or system configuration
• Knowledge of HRP (HealthRules Payor) platform
• Experience in a healthcare and/or Managed care setting and/or knowledge of New York State Medicare Advantage and CMS guidelines
• Project management and staff supervision...
mindmatch.ai -
Mount Sinai Health System-New York
relationships with managed care organizations. The Practice Manager will act as a liaison within Mount Sinai Medical Center to ensure efficient non-financial service delivery to our participating physician practices.
Experience Requirements
• Minimum 5 years...
mindmatch.ai -
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