• Medicare Compliance Manager (Medicare…

    Molina Healthcare (Rochester, NY)
    …Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred ... and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing,… more
    Molina Healthcare (07/25/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Bronx, NY)
    …(5) boroughs. Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan visibility in the community by monitoring ... frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located...ensure member satisfaction. Other Duties and Responsibilities + Keeps management abreast on any recommendation that can make a… more
    Centers Plan for Healthy Living (07/15/25)
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  • Health Information Management

    New York State Civil Service (Queens Village, NY)
    NY HELP Yes Agency People With Developmental Disabilities, Office for Title Health Information Management Administrator 3 Occupational Category Health Care, ... NY Zip Code 11427 Duties Description POSITION DESCRIPTION: The Health Information Management Administrator 3 (HIMA 3)...as the US Savings Bond and the College Savings Plan .* Voluntary pre-tax savings programs such as Health more
    New York State Civil Service (08/08/25)
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  • Health Information Management

    New York State Civil Service (Rome, NY)
    NY HELP Yes Agency People With Developmental Disabilities, Office for Title Health Information Management Technician 1 Occupational Category Other Professional ... Qualifications You must be currently certified by the American Health Information Management Association as a Registered...as the US Savings Bond and the College Savings Plan .* Voluntary pre-tax savings programs such as Health more
    New York State Civil Service (07/11/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …(5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple marketing locations ... No need for referrals Candidate Requirements: + Active NYS Health and Accident license + AHIP certified + Computer/technology...management abreast on any activities CPHL MAP and Advantage Care Medicare HMO Plan competitors are… more
    Centers Plan for Healthy Living (07/15/25)
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  • Sr Director Quality Management & Regulatory…

    Mohawk Valley Health System (Utica, NY)
    …Responsibilities + Actively engage in the development and implementation of the strategic plan for Quality Management Systems aligned with the overall strategic ... Sr Director Quality Management & Regulatory Affairs - Full Time -...projects around day to day organizational performance throughout the Health System, as well as facilitating leadership to achieve… more
    Mohawk Valley Health System (07/09/25)
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  • Manager, Production Management

    CVS Health (Albany, NY)
    …and every day. We are seeking a proactive and highly organized Manager of Production Management to join the Signify Health team to oversee field service dispatch ... At CVS Health , we're building a world of health...supervisory experience of scheduling/dispatching team, including team training, shift management , etc. + Knowledge of Medicare Advantage ,… more
    CVS Health (08/09/25)
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  • Behavioral Health Medical Director…

    Humana (Albany, NY)
    …Medicare Advantage and Managed Medicaid products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and… more
    Humana (08/09/25)
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  • Outreach and Retention Associate

    Centers Plan for Healthy Living (Staten Island, NY)
    …and Retention Associate (ORA)-Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan serving Medicare eligible beneficiaries living in ... them and orient them on the CPHL benefits and health delivery system access. + Conduct daily surveys to...plan changes applications. + Refer escalated inquiries to Management . + Reduce monthly dis-enrollments and maintain a low… more
    Centers Plan for Healthy Living (07/15/25)
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  • Lead Director, Medicare Actuarial Analytics…

    CVS Health (Albany, NY)
    …candidate will have deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management , and pricing strategies. This role requires a strong ... At CVS Health , we're building a world of health...development and execution of actuarial analytics strategies for Medicare Advantage and Part D programs. + Inform and enhance… more
    CVS Health (07/01/25)
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