• Senior Project Manager , Healthcare…

    Humana (Albany, NY)
    …health first** Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within ... scope in the IT implementation activities. This is NOT a traditional Project Manager role. The Senior Implementation Business Project Manager will serve as… more
    Humana (01/16/26)
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  • Behavioral Health Office Manager

    Outreach Development Corporation (Richmond Hill, NY)
    Office Manager - FT Outreach is a non-profit organization that helps people address the issues stemming from substance use and behavioral health disorders by ... For more information, please visit www.opiny.org . The Behavioral Health Office Manager position has a significant role in the Outreach Development Corporation team.… more
    Outreach Development Corporation (01/13/26)
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  • Manager , Risk Score Accuracy

    Healthfirst (NY)
    …was founded by a collection of major healthcare systems in the New York area to emphasize high quality of care, and better patient outcomes. We have grown ... model. **More about the team, and the role:** As Manager , Risk Score Accuracy your role will be critical...measure and trend performance for NYS PHSP products including Medicaid , Essential Plan, HARP, CHPlus and MLTC + Respond… more
    Healthfirst (11/27/25)
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  • Field Access Manager - Central Indiana…

    Merck (Albany, NY)
    **Job Description** Field Access Manager The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals ... how the products are covered under the benefit design (Commercial, Medicare, Medicaid ) * Answer questions about coverage, including payer-specific access questions *… more
    Merck (01/09/26)
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  • Case Manager - Waiver Programs Service…

    Episcopal SeniorLife Communities (Rochester, NY)
    Case Manager - Waiver Programs Service Coordinator ROCHESTER, NY (http://maps.google.com/maps?q=505+MOUNT+HOPE+AVENUE+ROCHESTER+NY+USA+14620) Apply Description ... with the program regulations. + Ensure participants maintain active Medicaid at all times and assist with benefit management...occasional walking and standing in and around the reception area , and lobby. Must be able to occasionally lift… more
    Episcopal SeniorLife Communities (12/17/25)
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  • Financial Case Manager

    Rochester Regional Health (Rochester, NY)
    SUMMARY The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process. ... - The FCM will assist residents in applying for and recertifying in Medicaid coverage. This entails interviewing and screening resident and family for financial… more
    Rochester Regional Health (12/27/25)
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  • Care Manager , Sayville Project

    Stony Brook University (Bohemia, NY)
    …orientation. Develop necessary education and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. + Participate in outreach ... Care Manager , Sayville Project **Required Qualifications (as evidenced by...OMH, NYS DOH, Health Home, Suffolk County DMH and Medicaid guidelines and regulations, policies and procedures. Care Management… more
    Stony Brook University (01/15/26)
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  • Manager of Revenue Cycle Management…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Manager of Revenue Cycle Management Training & Education -Patient Financial Services- Corporate 42nd St-Full-Time -Days** The Manager of ... ensure regulatory compliance, and enhance the patient financial experience. The Manager will collaborate closely with RCM leadership, clinical operations, IT, and… more
    Mount Sinai Health System (12/19/25)
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  • Case Manager , RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... Case Management staff, members, and providers. + Provides backup for the Supervisor/ Manager , whenever necessary by: + Participating in the orientation of new staff… more
    Excellus BlueCross BlueShield (01/13/26)
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  • Financial Case Manager

    Rochester Regional Health (Rochester, NY)
    SUMMARY The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process. STATUS: ... financial, and legal information. * May need to travel throughout service area . RESPONSIBILITIES Financial Counseling * Assesses the healthcare coverage needs of… more
    Rochester Regional Health (12/24/25)
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