• Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    …NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... Assistance Program (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health Insurance. Ensuring that the three… more
    City of New York (08/13/25)
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  • Director of Managed Care Contracting

    Stony Brook University (Commack, NY)
    Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care ... Managed Care Contracting Team within the Department of Managed Care . This leadership role is responsible for the oversight, negotiation, and management… more
    Stony Brook University (08/08/25)
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  • Managed Care Specialist

    WMCHealth (Valhalla, NY)
    Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29996) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction of… more
    WMCHealth (08/01/25)
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  • Managed Care Provider Enrollment…

    Stony Brook University (Commack, NY)
    Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work ... under the oversight of the Director of Managed Care Enrollment and join a team of professionals representing Stony Brook Medicine * and its Clinical Integrated… more
    Stony Brook University (07/09/25)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... healthcare requirements + The unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The Medicaid Managed more
    Abbott House (07/04/25)
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  • Temporary- Managed Care Pharmacy…

    CDPHP (Latham, NY)
    …of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for administering ... CDPHP member and client-specific programs aimed at optimizing pharmacy benefits and the prescription process. This position will handle live calls to members as well as physicians and pharmacists, to provide information regarding pharmacy benefits, formulary… more
    CDPHP (07/29/25)
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  • Health Home Care Manager I

    HCR Home Care (Rochester, NY)
    …client's care to effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of the Care Team ... Range: $19.00 - $26.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home Program… more
    HCR Home Care (08/16/25)
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  • Care Manager- Care Management-Full…

    Mount Sinai Health System (Long Island City, NY)
    …+ **Experience:** 3 - 5 years acute care experience. Experience in Care Management duties and managed care reviews. + **License/Certification:** ... + Refer cases to Risk Management when appropriate. + Concurrent and retrospective managed care reviews. + Identify patient's stability for Alternate Level of… more
    Mount Sinai Health System (08/26/25)
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  • Care Manager Remote based in New York

    Molina Healthcare (NY)
    …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
    Molina Healthcare (08/24/25)
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  • Director, HARP Care Management

    Healthfirst (NY)
    …(LCSW), or Licensed Master Social Worker (LMSW) + 7 years of behavioral health experience in managed care and/or a clinical setting with at least 2 years of that ... experience being in managed care + Progressive leadership experience in medical and behavioral health care management including work experience in a senior… more
    Healthfirst (07/25/25)
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