• Program Manager - Product & Portfolio Delivery

    Brighton Health Plan Solutions, LLC (New York, NY)
    …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... large complex project/program with Internal and external teams preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
    Brighton Health Plan Solutions, LLC (07/24/25)
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  • Customer Service Rep/ Bilingual (Nov)

    Brighton Health Plan Solutions, LLC (New York, NY)
    …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... chat, and voice. + Previous multi-channel experience is a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of… more
    Brighton Health Plan Solutions, LLC (08/20/25)
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  • Pharmacy Benefit Manager/ Health

    Deloitte (Jericho, NY)
    …payors, pharmacies and patients. + Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate ... Pharmacy Benefit Manager/ Health & Group Benefits...content. + Demonstrated knowledge of at least three US health & welfare benefit plan ...at least three US health & welfare benefit plan types (such as life, disability,… more
    Deloitte (08/26/25)
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  • Staff VP Specialty Pharmacy Clinical Operations

    Elevance Health (New York, NY)
    …and participation in client meetings as requested. + Interface with Health Plan stakeholders, Pharmacy Benefits Management (PBM) leadership, and senior ... York, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
    Elevance Health (08/27/25)
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  • Behavioral Health Case Manager

    Independent Health (Buffalo, NY)
    health clinical and/or care coordination setting required. + Experience in a health plan /managed care setting, case management and/or quality improvement ... Health Case Manager is primarily responsible for managing behavioral health benefits through the administration of quality improvement functions.… more
    Independent Health (08/29/25)
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  • Care Manager II - Health Home

    Monroe Plan for Medical Care (Cortland, NY)
    …and families who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agency, servicing 28 counties and over ... of healthcare for underserved populations.For over 50 years, Monroe Plan for Medical Care, a not-for-profit health ...$46,948 - $57,380. In addition to your salary, Monroe Plan offers a comprehensive benefits package (all… more
    Monroe Plan for Medical Care (08/19/25)
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  • Provider Services Representative

    Molina Healthcare (Rochester, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina...serves as the primary point of contact between Molina Health plan and the Provider community that… more
    Molina Healthcare (08/28/25)
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  • Senior Plan Document Writer (Self-Funded…

    CVS Health (Albany, NY)
    …for drafting, reviewing, and amending or restating medical, dental, and vision plan documents, including Summaries of Benefits and Coverage (SBCs). You ... Team:** Supports onboarding new groups, assists clients in finalizing benefit designs, and drafts initial plan documents...+ Knowledge and experience with medical, dental, and vision benefits . + Familiarity with benefit terminology. +… more
    CVS Health (08/08/25)
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  • Senior Plan Builder (Meritain Health

    CVS Health (Amherst, NY)
    …+ Facilitating client facing review of plan setup walking through all benefits to assure alignment of benefit interpretation. + Consult and advise internal ... heart, each and every day. **Position Summary** The Senior Plan Builders will provide plan benefit...must possess an analytical system coding ability to translate plan benefits into system data coding. The… more
    CVS Health (07/31/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
    CVS Health (08/15/25)
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