• RN - Group Home Nurse Case Manager

    FlexStaff (Poughkeepsie, NY)
    …at least a semiannual basis or as indicated. 3. Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical, dental, and specialty appointments, ... the code of business conduct, the NYS and federal False Claims Act, whistleblower protection, and mandatory reporting. Complete corporate compliance training… more
    FlexStaff (07/29/25)
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  • Nurse Case Manager

    Constructive Partnerships Unlimited (Queens, NY)
    Nurse Case Manager Type of Position Full time Search Location(s) Queens, NY Apply Now ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
    Constructive Partnerships Unlimited (05/15/25)
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  • Nurse Case Mgr I

    Elevance Health (Latham, NY)
    **Telephonic Nurse Case Manager I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management… more
    Elevance Health (07/25/25)
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  • Senior Manager Product Strategy

    CVS Health (Albany, NY)
    …heart, each and every day. Position Summary We are seeking a Senior Manager Product Strategy for our Weight Management product within our Care Management Solutions ... team. As a Senior Manager Product Strategy for Weight Management, you will be...but primarily focused on product financial performance evaluation, business case development to assess new product opportunities, and quantitative… more
    CVS Health (07/30/25)
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  • Payment Integrity Subrogation Manager

    Molina Healthcare (Yonkers, NY)
    …The role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general ... **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of...Medicaid, Medicare, and Marketplace populations. + Collaborate with legal, claims , provider relations, finance, and compliance departments to ensure… more
    Molina Healthcare (07/23/25)
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  • RN Care Manager Remote with field travel…

    Molina Healthcare (NY)
    …with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. Bilingual ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (08/08/25)
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  • Product Manager , Risk Adjustment Analytics…

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... SDLC. + **Technical Acumen:** Comfortable working with large datasets, EHR data, claims data, and HCC-based analytics. Familiarity with query languages such as SQL,… more
    Datavant (06/06/25)
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  • Pharmacy Manager

    Walgreens (Depew, NY)
    …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
    Walgreens (08/08/25)
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  • Senior Manager Medical Assessment Center

    MTA (New York, NY)
    Senior Manager Medical Assessment Center Job ID: 12310 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Health Services Date Posted: Jul 15, 2025 Description JOB TITLE: Senior Manager , Medical Assessment Center DEPT/DIV: Occupational Health Services WORK LOCATION: 420… more
    MTA (07/16/25)
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  • Dental Product Manager

    Guardian Life (New York, NY)
    The Dental Product Manager plays a key role in developing, supporting, implementing and managing our dental insurance products to meet market needs, drive growth, ... of focus for this role includes, but is not limited to: business case development, supporting the development and implementation of the dental products and services,… more
    Guardian Life (07/17/25)
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