• Medicaid Data and Reporting Professional

    Humana (Albany, NY)
    …experience in Microsoft Excel including formulas, pivots, charts, and graphs + Experience in managed care or health care sector + Prior experience working ... Projects:** In addition to routine reporting, this role will lead larger scope projects related to clinical data needs...serve to achieve their best health - delivering the care and service they need, when they need it.… more
    Humana (10/07/25)
    - Related Jobs

  • Field Reimbursement Manager

    Amgen (Syracuse, NY)
    …in public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales + Strong medical reimbursement ... across physician types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial...us As we work to develop treatments that take care of others, we also work to care… more
    Amgen (10/02/25)
    - Related Jobs

  • Manager- Provider & Member Services

    Independent Health (Buffalo, NY)
    …with professionalism and accuracy. + Ensure compliance with member rights and managed care policies. + Maintain confidentiality and uphold service standards ... HR to address staffing needs and budget efficiencies. + Lead teams to meet productivity and quality benchmarks. +...NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in… more
    Independent Health (10/02/25)
    - Related Jobs

  • Revenue Integrity Analyst

    Rochester Regional Health (Rochester, NY)
    …to improve revenue cycle; support financial and administrative oversight of managed care contracts with commercial payers; support contracting activities ... + Bachelor's Degree in Business, Accounting, Health Information, other health care related field required. PREFERRED QUALIFICATIONS: + Proficient in utilizing Excel… more
    Rochester Regional Health (09/30/25)
    - Related Jobs

  • Senior Clinical Programs Pharmacist

    CenterWell (Albany, NY)
    …Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... create value for Humana members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in… more
    CenterWell (09/30/25)
    - Related Jobs

  • Clinic Director - Inpatient Rehabilitation

    Helio Health Inc. (Syracuse, NY)
    …+ Coordinate care and services with external case managers, managed care operators, licensing, funding, and contracting agencies. Responsibilities + ... Rehabilitation Clinic Directorworking a Full-Time schedule to supervise and lead our staff to deliver the highest quality ...lead our staff to deliver the highest quality care to our patients in ourWillows Inpatient Rehab Program.… more
    Helio Health Inc. (09/25/25)
    - Related Jobs

  • Full Time - Behavioral Health Counselor III…

    Trinity Health (Guilderland, NY)
    …skills are required as well as knowledge of working with community agencies and managed care representatives is desired. + Experience working with a diverse ... Here at SPARC Guilderland, an affiliate of St. Peter's Health Partners, we care for more people in more places. **Position Highlights:** * Quality of Life:… more
    Trinity Health (09/17/25)
    - Related Jobs

  • Dental Office Manager

    OLV Human Services (Lackawanna, NY)
    …healthcare administration, business, or related field. + Experience with NY Medicaid and managed care dental plans. + Familiarity with NYS Department of Health ... insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented within the Electronic Health Record (EHR) system.… more
    OLV Human Services (08/09/25)
    - Related Jobs

  • Community Relations Specialist - Bronx (Bilingual)

    Centene Corporation (Bronx, NY)
    …sales/marketing experience, preferably with government products. required Health insurance or managed care experience preferred Specific language skills may be ... retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may… more
    Centene Corporation (10/03/25)
    - Related Jobs

  • Vice President, Operations

    Centene Corporation (Queens, NY)
    …contracts, related laws, regulations and executive orders. + Deep understanding of managed care models (HMO, PPO, Medicaid, Medicare Advantage, Duals, SNPs). ... + Familiarity with healthcare laws, reimbursement models, and value-based care initiatives. + Perform duties as senior liaison between product line, other business… more
    Centene Corporation (10/04/25)
    - Related Jobs