- Molina Healthcare (NY)
- …(HR), Information Technology (IT), Legal, Compliance, Travel, Government Affairs, Communications and Health Plan Operations . + Designs, implements, and ... organizations, technical staff, and business units in the Protection Services Operations Center (PSOC) Team. Responsible for the monitoring and intelligence,… more
- Highmark Health (Albany, NY)
- …and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management ... business. This will require aligning new models to the health plan 's strategic objectives based on a...Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial ... Population Health Engagement, Marketing & Sales, etc., and how they impact Health Plan operations and financials. Level III (in addition to Level II… more
- Molina Healthcare (Buffalo, NY)
- …point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations . Coordinates and facilitates meetings providing ... processing and maintenance of new members and re-enrollment. Processes and maintains health plan 's member and enrollment records, employer's monthly reports,… more
- Humana (Albany, NY)
- …Qualifications** + Bachelor's of Master's degree. + Experience with standing-up new health plan operations and/or implementations. + Experience working ... value based performance improvement, at least two of which are working for a health plan . + 5+ years HEDIS and quality measures and ability to review and… more
- Healthfirst (NY)
- …using Agile methodologies. Exposure to Scaled Agile (SAFe) preferred. + Experience working with health plan operations and IT + Experience working as a ... by collaborating closely with peers, leaders, and staff throughout Operations to ensure the appropriate parties are contributing. +...+ Experience leading large scale change initiative in a health plan setting + Demonstrated understanding and… more
- Molina Healthcare (Syracuse, NY)
- …correspondence between vendors, functional counterparts, and stakeholders (Claims, Enrollments, IT, Health Plan , Core Operations ) + Performs reconciliations ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Process Improvement Manager II- Health System Operations -Corporate-Full-Time Days-Hybrid** The Process Improvement (PI) Manager II leads ... and simultaneously with great attention to detail Non-Bargaining Unit, 614 - Health System Operations - MSH, Mount Sinai Hospital **Responsibilities** **Program… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Process Improvement Manager I- Health System Operations -Corporate-Full-Time Days-Hybrid** The Health Systems and Process Improvement ... (HSPI) Manager II leads improvement initiatives coordinated by Health System Operations , utilizing a wide range...and changes in project scope + Develops scope and plan for improvement initiatives, acquiring stakeholder buy-in and leadership… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team… more