• Senior CBO Appeals Analyst

    Mount Sinai Health System (New York, NY)
    …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... Medicare and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8. Analyze impacts… more
    Mount Sinai Health System (08/16/25)
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  • AVP, Private Assets Operations - Private Credit

    Aflac (New York, NY)
    …works within the US Chief Operating Officer Group in support of private assets managed internally and externally. The position will work in support for all middle ... management team responsible for private debt and alternative assets for externally managed mandates. Assist in performing daily operational activity to support funds… more
    Aflac (07/06/25)
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  • UAS Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …proficiency + Strong multi-tasking abilities Preferred: + Experience working within a managed care environment + Experience working with the geriatric population ... care team to help assist with the care of members enrolled in CPHL Managed ...treatments and healthcare related activities. REPORTING RELATIONSHIPS: Reports to Care Coordination Manager and shares a collaborative… more
    Centers Plan for Healthy Living (07/15/25)
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  • Halfway House Supervisor - Alcohol Halfway - MSM…

    Mount Sinai Health System (New York, NY)
    …at least bi-weekly appointment with each patient on caseload * Interfaces with managed care companies and referral sources to implement Treatment Plans * ... assigned area * In the absence of Halfway House Manager : maintains contact with OPD, exercise control of petty...hospital staff and extended community * Communicates effectively with managed care , insurance companies, EAP's, and other… more
    Mount Sinai Health System (06/13/25)
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  • Patient Service Representative- Pediatrics,…

    Mount Sinai Health System (Greenlawn, NY)
    …colleagues + Must have excellent verbal communication & listening skills + Knowledge of managed care plan requirements + Ability to organize and prioritize and ... assist them in navigating MyChart. + May acquire insurance pre-authorization/referrals from managed care plans for all required services, admissions, procedures,… more
    Mount Sinai Health System (08/19/25)
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  • Trainer/Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Type of Experience Required: Healthcare, Marketing, customer service Preferred: Training, Managed Care , public speaking, customer service, Specific Technical ... policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools...Able to work in a fast paced environment + Managed long term care knowledge + Medicaid… more
    Centers Plan for Healthy Living (07/15/25)
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  • Asset Management - Alternatives Product…

    JPMorgan Chase (New York, NY)
    JP Morgan Asset Management is the world's third-largest alternatives manager , with a 40-year history of delivering innovative alternative solutions across market ... cycles. Our alternative investment engines are managed by highly specialized independent teams, backed by the global reach, vast resources and robust governance of… more
    JPMorgan Chase (06/08/25)
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  • RN Assessment Nurse

    Elderwood (Monroe County, NY)
    …In the role of an RN Assessment Nurse, You will partner with the Social Work Care Manager and are a critical resource for our members as you are responsible ... years nursing experience in home care , case management, discharge planning or managed care + Minimum of one (1) year experience working with a frail or… more
    Elderwood (08/01/25)
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  • Psychiatric RN CM

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Behavioral Health Care Manager , Telephonic Nurse, in a telephonic environment, assesses and evaluates ... the care and wellbeing of members. The Care Manager , Telephonic Nurse work assignments are...+ Experience working with Medicare and/or Medicare/Medicaid population + Managed care experience + Spanish Speaking **Additional… more
    Humana (08/14/25)
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  • Senior Associate, Product Management (Small…

    Capital One (New York, NY)
    …**Small Business Card (Credit Line Management) Team** is seeking a Product Manager who will collaboratively define and enable our credit line management experiences. ... works when they need it, and works in a well- managed way for our business. That means being able...love most - growing their business. As a Product Manager , you will work within a cross-discipline team consisting… more
    Capital One (06/04/25)
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