• Data Science Analyst II-Geriatric and Palliative…

    Mount Sinai Health System (New York, NY)
    …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... years minimum in analytics development expertise, preferably in health care , or for a health provider, health plan or...or for a health provider, health plan or accountable care organization, including either: + Working knowledge of a… more
    Mount Sinai Health System (06/29/25)
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  • Sr Analyst, Performance Suite Analytics

    Evolent (Albany, NY)
    …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
    Evolent (06/24/25)
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  • RN Case Manager - Case Management - Full Time Day

    Guthrie (Corning, NY)
    …c) Maintains a positive and professional relationship with payers that supports continued managed care contracts. d) Articulates the primary objectives of ... Essential Functions: 1. Assists to ensure that the right care is provided to patients in the right setting,...and other healthcare team members regarding the coordination of care processes of the patient across the continuum of… more
    Guthrie (06/24/25)
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  • PRN Licensed Practical Nurse (LPN)

    Valor Health (Lockport, NY)
    …with front desk for check-in, check-out and phone coverage. o Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Licensed… more
    Valor Health (06/10/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving patient outcomes. + Provide consultative workflow… more
    Highmark Health (08/20/25)
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  • Clinical Educator, Tzield - Pennsylvania - Upstate…

    Sanofi Group (Syracuse, NY)
    …commercial or medical role in a pharmaceutical or biotech company desired + Familiarity with managed care and particularly "buy and bill" therapy as well as with ... gateways, this role must support both internal and external care teams in the overall patient journey. The Clinical...maintains a strong working relationship with the Endocrinology Health Care providers (MD, NP, PA), HCFs (Nurses, Pharm D,… more
    Sanofi Group (08/17/25)
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  • Senior Policy Advisor, Bureau of Equitable Health…

    City of New York (New York, NY)
    …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models - Price ... and healthcare systems in partnership with community, faith-based, and health care organizations. CHECW's work focuses on social determinants of health, including… more
    City of New York (08/13/25)
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  • Program Coordinator - HHM041 - Mon-Fri 9AM-5PM

    WellLife Network (Coram, NY)
    …of enrollments, closures, updating of care plans, and changes in managed care status/plan and Medicaid recertification. Ensure all changes are reported ... - $70000.00 Salary Job Description Position Summary: Manager of care coordinators. The Program Coordinator will ensure that all...Accountabilities: + Supervise 1-2 teams, consisting of a Senior Care Coordinator and up to I0 Care more
    WellLife Network (08/09/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... years of retail pharmacy technician experience or related health care administrative, and a strong familiarity with the prior..., Medicaid and TriCare. Preferred: 3 years of health care related billing and benefits investigation 1 year of… more
    Mount Sinai Health System (08/08/25)
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  • Diabetes Sales Associate

    Abbott (Syracuse, NY)
    …new sales in expanded marketplace. + Collaborate with various channels partners within HCP, Managed Care , Retail, and Point of Care organizations. + ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...position is a remote opportunity in the Abbott Diabetes Care Division. We are helping people with Diabetes lead… more
    Abbott (07/21/25)
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