• Outpatient Director of Admissions

    Samaritan Daytop Village (Bronx, NY)
    …Experience in Substance Use Disorder and Mental Health Disorder + Experience working with Managed Care services and agencies or hospital based experience a plus. ... This position is responsible for the performance and guidance of all department employees and for the direct supervision of the Assistant Director(s) of Admissions and Assessment as well as assuring the quality of clinical and administrative services. Specific… more
    Samaritan Daytop Village (08/29/25)
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  • Director Contracts

    Hillside Family of Agencies (Rochester, NY)
    …relationships with various Strategic Partners (eg Departments of Social Services, OCFS, Managed Care Organizations etc.) in partnership with the Executive ... Directors, Vice Presidents, Chief Operating Officer and Legal Advisor. Essential Job functions + Lead the development, implementation and continuous improvement and oversee a system that ensures that all contracts are executed in a timely manner and that… more
    Hillside Family of Agencies (08/29/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …claims experience, OR one year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written ... communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
    Molina Healthcare (08/28/25)
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  • Field Director, Medical Science Liaison…

    Grifols Shared Services North America, Inc (Manhattan, NY)
    …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... medical schools. Acts as an "ambassador" representing Grifols' position and interests. + Participates and contributes in cross-functional teams (eg, sales, marketing, global medical affairs) regarding field-based activities, medical insights, competitor… more
    Grifols Shared Services North America, Inc (08/28/25)
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  • Program Manager (Credentialing)

    Molina Healthcare (Syracuse, NY)
    …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional ... highly matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * CPCS Certification, PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested… more
    Molina Healthcare (08/27/25)
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  • Senior Business Analyst (Enrollment) - REMOTE

    Molina Healthcare (Buffalo, NY)
    …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
    Molina Healthcare (08/27/25)
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  • Bi-lingual Case Manager

    Arms Acres (Carmel, NY)
    …planning, and intervention with client support systems, including social service programs and managed care . We are a substance abuse recovery center seeking ... driven, client focused counselors to make a difference! Requirements REQUIRED QUALIFICATIONS: + CASAC-T, CASAC, LMSW, LMFT or LMHC required + Master's Degree in related field + Experience working specifically with outpatient substance abuse counseling… more
    Arms Acres (08/27/25)
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  • Customer Service Representative, Casualty

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    …knowledge of HIPAA Confidentiality laws. + Quick learner with ability to grasp managed care procedures. + Detail-oriented and dependable. + Effective listening ... and responding skills. + Flexible and adaptable to changes, with conceptual thinking. + Strong problem-solving abilities. + Excellent attendance and punctuality. + Comfortable performing tasks at a computer/telephone station. + Effective communication through… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • AR Specialist (Physician Medical Billing), Hybrid…

    FlexStaff (Chappaqua, NY)
    …experience in physician medical billing, specifically with Medicare Part B and in-network Managed Care . * Familiarity with medical coding modifiers and handling ... large-volume billing. In this role you will be performing collection of outstanding accounts for assigned payers. This will require contacting payers and patients by telephone or online, and appealing denied or incorrectly paid claims. Schedule: * Hours: 8:30… more
    FlexStaff (08/26/25)
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  • Virology Customer Representative - St. Louis, MO

    Merck (Albany, NY)
    …and models teamwork with extended members of the Virology Account Team (CLs, CTLs, Managed Care , Marketing) in the development of long-term account plans and ... customer centric solutions to improve value for both customers and patients. + Demonstrates the ability to embrace and maximize current and future technological capabilities and multi-channel opportunities to engage customers. + Demonstrates high-level… more
    Merck (08/26/25)
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