• QNXT Configuration Analyst

    Molina Healthcare (Rochester, NY)
    …environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed ... care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven… more
    Molina Healthcare (11/28/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …by Calvary Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to ... the various programs provided by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital.… more
    Calvary Hospital (11/19/25)
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  • VP, AI Enablement

    Molina Healthcare (Syracuse, NY)
    …deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. + Collaborates with IT and business leaders ... **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in managed care , including strategy, enterprise transformation, digital innovation, technology… more
    Molina Healthcare (10/26/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Buffalo, NY)
    …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
    Molina Healthcare (10/17/25)
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  • Training Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …of Experience Required: Administrative, coordination, communications, education Preferred: Training, Managed Care , Sales Specific Technical Skills Required ... managerial skills + Able to work in a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION #… more
    Centers Plan for Healthy Living (10/14/25)
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  • Trainer/Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Type of Experience Required: Healthcare, Marketing, customer service Preferred: Training, Managed Care , public speaking, customer service, Specific Technical ... skills + Able to work in a fast paced environment + Managed long term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct… more
    Centers Plan for Healthy Living (10/14/25)
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  • District Manager, Neuro - New York City

    J&J Family of Companies (New York, NY)
    …business plans. + Experience interacting with KOLs, organized customers, and managed care organizations. + Effective communication, presentation, and ... one's region and by appropriately leveraging the expertise of others (eg, Managed Markets ADs, Medical Affairs, Sales Operations, etc.). For select HCP/Accounts,… more
    J&J Family of Companies (11/15/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    …(CINs), with the goal of ending individuals' enrollment in multiple Medicaid Managed Care plans. Additionally, address Invalid Social Security Number files ... record entries and the date of changes or occurrences. Oversee the projects managed by PAAIIs under your supervision, ensuring they review and provide documentation… more
    City of New York (10/10/25)
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  • Ambulatory Office Assistant - Hamilton Health…

    Bassett Healthcare (Hamilton, NY)
    …responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have direct patient care ... Healthcare Network. This is a key role in the patient centered care team. Demonstrates excellence in all patient and customer encounters including face-to-face… more
    Bassett Healthcare (12/12/25)
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  • Social Worker

    Saratoga Hospital (Saratoga Springs, NY)
    …the resources available in the community and requirements of government payers and managed care organizations. Involves the patient/family and/ or support person ... Springs, NY Employment Type: Salaried, full-time Shift/Schedule: Day shift Department: Care Management Salary Range: $63,065.60 - $103,563.20 annually, based on… more
    Saratoga Hospital (12/11/25)
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