• Manager , Risk Adjustment Analytics

    Datavant (Albany, NY)
    …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...(2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment models + 5+… more
    Datavant (06/03/25)
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  • RN Clinical Manager

    CenterWell (Clifton Park, NY)
    …on-site at our** **Clifton Park, NY** **branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
    CenterWell (05/20/25)
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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 ... measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
    Datavant (06/06/25)
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  • Education Manager , RN (Health Plans)

    VNS Health (Manhattan, NY)
    …of healthcare through education? Join us at VNS Health Plans as an Education Manager (RN) and make a meaningful impact on clinical training and development with a ... strong Medicare focus. Craft and refine engaging educational programs and...of health care delivery systems, patient care, care coordination, case management, and clinical processes requiredExperience assessing and designing… more
    VNS Health (06/03/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …range: $86,650.99 - $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany Med Center of Excellence ... College, Department of Neurology and Director of Alzheimer's Program, the Program Manager will oversee the day-to-day clinical and administrative operations of the… more
    Albany Medical Center (05/26/25)
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  • Lead Product Manager

    Humana (Albany, NY)
    …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design,...oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI… more
    Humana (05/30/25)
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  • Audit & Reimbursement Senior- Appeals

    Elevance Health (East Syracuse, NY)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for… more
    Elevance Health (05/30/25)
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  • RN Care Manager - Occasional - Days

    Mohawk Valley Health System (Utica, NY)
    RN Care Manager - Occasional - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a comprehensive assessment to ... effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal...services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH… more
    Mohawk Valley Health System (05/30/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …Overview Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager who has their MSW to join our incredible growing team of ... Responsibilities In the role of an Social Work Care Manager , you will partner with the Registered Nurse and...Work experience with at risk populations in home care, case management, discharge planning or managed care. + Minimum… more
    Elderwood (04/30/25)
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  • Field Reimbursement Manager , Hemophilia,…

    Sanofi Group (New York, NY)
    **Job Title:** Field Reimbursement Manager , Hemophilia, NORTHEAST **Location** : Remote, Field, Territory: Northeast - Northern NJ, Metro NY, Connecticut, ... and Utilization Management criteria for assigned products. + Monitor commercial, Medicare , and Medicaid communications on coverage, coding, and reimbursement. +… more
    Sanofi Group (05/24/25)
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