• Representative, Provider Relations HP (Must Reside…

    Molina Healthcare (NY)
    …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to… more
    Molina Healthcare (08/02/25)
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  • Financial Resource Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …all self-pay patients to determine if they are eligible for coverage through Medicaid, Medicaid Managed Care or any other type of Marketplace program. Must be a ... to gather necessary documentation for a Medicaid or Medicaid Managed Care application and assists in completing...4:30 pm Message to Applicants: Recruitment Office: Human Resources Executive Order: Pursuant to Executive Order 161,… more
    SUNY Upstate Medical University (08/17/25)
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  • Vice President, Growth - Payer

    Evolent (Albany, NY)
    …is differentiated through content knowledge and proficiency + Personally initiate and foster executive level relationships at managed care organizations or ... facing role, this person must exude an energetic, strong executive presence and have a mission driven mentality to...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
    Evolent (06/16/25)
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  • WM Solutions Business Management Associate

    JPMorgan Chase (New York, NY)
    …the daily operations of the business and provide ongoing assistance to the Chief Executive Officer and Head of Managed Investments. You will partner with the ... and fast-paced environment, providing strategic and operational assistance to executive leadership, facilitating effective communication, and promoting key initiatives.… more
    JPMorgan Chase (08/15/25)
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  • Key Account Manager - Transplant - White Plains

    Takeda Pharmaceuticals (New York, NY)
    …national level. + Use available tools and resources to monitor and evaluate industry/ managed care trends and communicate relevant information to those who are ... selling opportunities and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts business + Strong… more
    Takeda Pharmaceuticals (08/11/25)
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  • Casa Director

    City of New York (New York, NY)
    …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, ... Executive Deputy Commissioner, Medical Assistance Program and the Deputy Commissioner, Home Care Services Program and/or the Executive Director, Home Care more
    City of New York (08/13/25)
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  • Director of Nursing Professional Practice, RN…

    Mount Sinai Health System (New York, NY)
    care delivery system. Ensures that personnel/labor issues are managed in compliance with contractual agreements and support positive employee-management ... through the organization and oversight of all policies and procedures and standards of care , insuring all are within the scope of nursing practice and in accordance… more
    Mount Sinai Health System (07/15/25)
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  • Formulary Strategy Pharmacist Lead

    Humana (Albany, NY)
    …first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the development… more
    Humana (08/15/25)
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  • Director of Trading and Platform Operations, IQVIA…

    IQVIA (New York, NY)
    …to enable an effective and adaptable marketing model that drives better quality of care and patient outcomes. IQVIA is the leading global provider of data, advanced ... the Programmatic Trading and Campaign Ops teams across all managed service accounts and self-service consultation. Ensure high-quality execution, pacing/optimization… more
    IQVIA (07/17/25)
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  • Insurance Strategy Lead

    Humana (Albany, NY)
    …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
    Humana (08/01/25)
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