- Bristol Myers Squibb (New York, NY)
- …+ Concentrate their field-facing activities on specific accounts, which include regional managed care accounts and key integrated delivery networks in order ... collaboration with the home office medical matrix team. + Lead Health Economics and Outcomes Research for any given...five years of previous work experience in the pharmaceutical, managed care , or consulting industries with a… more
- Stony Brook University (Stony Brook, NY)
- …C-Suite Executives + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office + Working knowledge of medical terminology + ... project management and action planning, team work and team leader focus + Ability to cover multiple patient populations...Knowledge of regulatory requirements ie CMS, EMTALA, Managed Care , etc. + Bi-lingual + Experience… more
- Elderwood (Monroe County, NY)
- …(3) years nursing experience in home care , case management, discharge planning or managed care + Minimum of one (1) year experience working with a frail ... assessments in the Member's home to assess potential enrollees' appropriateness for Managed Long-Term Care (MLTC), or to reassess a member's status… more
- CVS Health (NY)
- …hired staff **Required Qualifications** + 3+ years of experience in a managed care clinical operation environment (utilization management, case management, ... new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class...of DSNP/ MMP experience required **Preferred Qualifications** + Previous Managed Care experience + Excellent verbal and… more
- ZOLL Medical Corporation (New York, NY)
- …+ Experience working with VA hospitals and the VA System and or large managed care organizations (ie, Kaiser, WellStar) preferred. + Two years minimum of ... ability to multi-task and prioritize work. + Familiarity with clinical reimbursement, and managed care policies and procedures is highly desirable. + Above… more
- Humana (Albany, NY)
- …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care , health plan operations, or Medicare Advantage programs (including various ... initiatives, including root cause analysis, best practices to close care gaps. **Use your skills to make an impact**...to internal and external stakeholders. + Demonstrated ability to lead through influence and collaborate across teams. + Thrive… more
- 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. ... the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts with clinical… more
- Trinity Health (Latham, NY)
- …three (1-3) years experience within a hospital or clinic environment, an insurance company, managed care organization or other health care financial service ... Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is preferred.… more
- Staffing Solutions Organization (Albany, NY)
- …should have experience and an understanding of Medicaid and Medicaid services, including Managed Care and billing practices **Basic Qualifications:** + 8 years ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- J&J Family of Companies (Albany, NY)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more
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