- AbbVie (New York, NY)
- …and not limited to, sales, marketing, medical affairs, legal, compliance, and, and managed care . Collaborate with brand to ensure speaker bureau fully ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- Elevance Health (New Hyde Park, NY)
- …to obtain a New York medical license after hire. + 3 years of managed care experience preferred. + Consulting experience preferred. + Utilization management ... plan to ensure that appropriate and most cost-effective medical care is received. They will work closely with the...clinical and non-clinical activities that impact efficient and effective care . + Supports new and existing customers by delivering… more
- CVS Health (Albany, NY)
- …Experience with eligibility, claims adjudication, reserving, or financial reporting in the managed care industry. + Familiarity with Google Cloud Platform (GCP). ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Helio Health Inc. (Syracuse, NY)
- …+ Coordinate care and services with external case managers, managed care operators, licensing, funding, and contracting agencies. Responsibilities + ... Full-Time schedule to supervise and lead our staff to deliver the highest quality care to our patients in ourWillows Inpatient Rehab Program. In addition to Helio… more
- Actalent (New York, NY)
- …communication skills + Good interpersonal skills + 6+ months of experience in long-term care , managed care , case management, geriatrics, triage, and EMR ... experience Additional Skills & Qualifications + Experience in care management and rehabilitation Work Environment Orientation takes place Monday to Wednesday from… more
- Actalent (New York, NY)
- …actions to the Unit Supervisor. Essential Skills + Long-term care experience + Care management skills + Managed care proficiency + Valid RN license ... + Rehabilitation experience + Graduation from an accredited school of nursing + NYS licensure as an LPN + Good oral and written communication skills + Good interpersonal skills + 6+ months of experience + Case management experience + Geriatrics knowledge +… more
- Humana (Albany, NY)
- …continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review ... clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall… more
- Samaritan Daytop Village (New York, NY)
- …substance use disorders and/or treatment services. + Knowledge of evidence-based treatments, managed care principles, and behavior practices. + Seminar in Field ... Social Services. What You Will Do + Provide clinical supervision to Care Coordinators/Social Workers and Interns. Continuously assess learning needs of supervisee;… more
- Catholic Health Services (Melville, NY)
- …established standards and procedures. + Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Catholic Health Services (Melville, NY)
- …insurance eligibility and pre- certification systems. + Must have expertise in insurance, managed care and federal/ state coverage. + Must be customer focused ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more