• Utilization Management Nurse

    CenterWell (Albany, NY)
    …Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage /Medicare + ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
    CenterWell (08/08/25)
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  • Risk Adjustment Actuarial Business Analyst II

    Elevance Health (New Hyde Park, NY)
    …studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties may ... and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses to… more
    Elevance Health (08/01/25)
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  • Medical Director - Care Plus - Florida

    Humana (Albany, NY)
    …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience with ... focus on collaborative business relationships, value based care, population health , or disease or care management . Medical...leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23… more
    Humana (06/28/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage /Medicare/Medicaid ... part of our caring community and help us put health first** Healthcare isn't just about health ...experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
    CenterWell (08/02/25)
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  • Meritain Account Director - Northeast

    CVS Health (Albany, NY)
    …level experience in Self-Funding, in addition to working with client/broker on their Health Plan strategy, interpreting and delivering the clients Annual Plan ... At CVS Health , we're building a world of health...to Book of Business** . Develops and implements account management and cross/up sell strategies to build and maintain… more
    CVS Health (07/18/25)
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  • Crisis Management Coordinator

    Community Housing Innovations (Commack, NY)
    …AFLAC supplemental insurance + Voluntary plans + Dependent Care Spending Account + Working Advantage - Employee Perks + 401(k) retirement plan + Life insurance + ... Crisis Management Coordinator Job Details Job Location LI- Moreland...that offer support, advocacy, and direct services for mental health issues, substance use, and trauma recovery. + Provide… more
    Community Housing Innovations (06/28/25)
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  • Sr Director Nursing - Operative Services - Full…

    Mohawk Valley Health System (Utica, NY)
    …competitive business advantage . + Serve as the Administrator-On-Call for the Health System throughout the year as scheduled/assigned. + Perform other duties as ... engage in the development and implementation of the strategic plan for Nursing aligned with the overall strategic ...of experience in nursing including five years of progressive health system management . + Proven leadership and… more
    Mohawk Valley Health System (07/18/25)
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  • Asset Management - Investment Stewardship…

    JPMorgan Chase (New York, NY)
    …on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan , backup childcare, ... At JP Morgan Asset Management , we provide investment solutions to many of...+ Previous buy-side experience on relevant investment approaches an advantage . JPMorganChase, one of the oldest financial institutions, offers… more
    JPMorgan Chase (08/08/25)
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  • HIM Records Management Specialist

    TEKsystems (Rochester, NY)
    …skills Top Skills Details Judgement,Detail,Administrative support,data warehouse,data entry,Records management Additional Skills & Qualifications Health ... Description Position Summary: The HIM Records Management Specialist under the direction of the Manager...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
    TEKsystems (08/14/25)
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  • Human Resources Business Management

    MUFG (New York, NY)
    …special issues and considerations for effective decision-making during a crisis. Project Management - Manage, direct, plan , develop and implement the most ... to the Americas Regional Chief Human Resources Officer, the HR Business Management Director is responsible for developing and managing overall strategic development… more
    MUFG (07/26/25)
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