- Excellus BlueCross BlueShield (Rochester, NY)
- …in a therapeutic or pharmacy management area that is critical to the Health Plan 's strategic program. Level III (in addition to Level II Qualifications): + ... management of drugs across our pharmacy and medical benefits . Essential Accountabilities: Level I: + Conducts drug prior...for business continuity. + Ability to travel across the Health Plan service region for meetings and/or… more
- CVS Health (Albany, NY)
- …targets are achieved. Prepares client for renewal by explaining cost drivers of benefit plan , offers solutions to reduce costs, delivers renewal to client ... level experience in Self-Funding, in addition to working with client/broker on their Health Plan strategy, interpreting and delivering the clients Annual Plan… more
- City of New York (New York, NY)
- …: City employees are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per a 2024 ... assessment. o additional health , fitness, and financial benefits may be...associated union/ benefit fund. oa public sector defined benefit pension plan with steady monthly payments… more
- City of New York (New York, NY)
- …Quality Management Coordinator who will: - Develop and implement a quality management system for medical and behavioral health services, Health Services ... shared services functions across agencies, which results in better day-to-day management and building an integrated mission across Agencies. DHS's mission statement… more
- CVS Health (Yonkers, NY)
- …member receives all the necessary care allowed under the member's benefit plan and as available through Medicaid benefits and/or other community resources. + ... overall care plan and reporting outcomes. **Fundamental Components** + Care Management activities are conducted through a combination of telephonic and face to… more
- CVS Health (Albany, NY)
- …securing DME, and helps to ensure timely physician follow-up. - Understands Payer/ Plan benefits , policies, procedures, and can articulate them effectively to ... management , Community Resources and supports) - Evaluation of health and social indicators - Identifies and engages barriers...be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in and promotes other health plan programs, such as, Preventive Health , use of web-based tools for self- management of conditions and engagement in ... health care cost drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in and promotes other health plan programs, such as, Preventive Health , use of web-based tools for self- management of conditions and engagement in ... care cost drivers. Essential Accountabilities: Level I * Handles behavioral health member clinical management programs. * Maintains knowledge of current… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple marketing locations and events. ... Centers Plan for Healthy Living's goal is to create...for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center… more
- Pfizer (New York, NY)
- …paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision ... highly complex projects, creating mid-term plans that impact results and influence management decisions. + Create the end-of-the-end program/project plan for… more