• Manager , Managed Care

    Pfizer (New York, NY)
    …be accountable for having a general working knowledge of the pharmaceutical and managed care industries. You will be responsible for preparing contract offers ... to learn or have a general working knowledge of Managed Care (Commercial, Part D, Medicare, Medicaid,...management for approval; assistance and support from Sr. Contract Manager , Director/Team Leader, and Strategy Leads may be necessary.… more
    Pfizer (08/08/25)
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  • Supervisor, Payor Contracting

    Cardinal Health (Albany, NY)
    …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
    Cardinal Health (06/11/25)
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  • Registered Nurse (RN) Care Manager

    Whitney Young Health Center (Albany, NY)
    …certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: $76,000 ... Registered Nurse (RN) Care Manager (Req 100984) Albany, NY...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
    Whitney Young Health Center (08/16/25)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    … NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health...NY, 11238 Hours/Schedule: 9 am - 5 pm ADM MANAGER -NON-MGRL FRM M1/M2 - 1002C Qualifications 1. A baccalaureate… more
    City of New York (08/13/25)
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  • Senior Manager , Enterprise Direct Sales…

    Comcast (Bellport, NY)
    …we want you to fast-forward your career at Comcast. **Job Summary** The Senior Manager , Enterprise Direct Sales - Managed Solutions is responsible for leading ... **Maintain deep expertise in Comcast Business strategic products and managed solutions to effectively coach and lead a team...need when it matters most, and should help you care for those who matter most. That's why we… more
    Comcast (07/18/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program Manager - Health…

    Molina Healthcare (Albany, NY)
    …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
    Molina Healthcare (08/14/25)
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  • Health Home Care Manager I

    HCR Home Care (Rochester, NY)
    Salary Range: $19.00 - $26.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 1 is primarily in an… more
    HCR Home Care (08/16/25)
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  • Field Care Manager , Ltss (RN)

    Molina Healthcare (NY)
    …to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License,… more
    Molina Healthcare (07/20/25)
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  • Clinical Manager - Integrated Care

    FlexStaff (New York, NY)
    …Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. Experience in working independently without significant oversight and ... **Req Number** 156311 FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm position for...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
    FlexStaff (07/18/25)
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