• Business Compliance Manager (Aetna SIU)

    CVS Health (Albany, NY)
    …all with heart, each and every day. **Position Summary** As the Manger of Business Compliance of Quality Review, Training, and Program Integrity, you will lead ... and abuse investigations. This role involves overseeing the training and development of team members, managing quality review processes, and ensuring compliance… more
    CVS Health (05/16/25)
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  • Medical Director, Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …lines of business . The incumbent also provides input into the development of policies, programs and strategic objectives that cover Medical Management Services ... approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels + Minimum of seven (7) years… more
    Excellus BlueCross BlueShield (05/03/25)
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  • Chief Information Officer

    Public Consulting Group (Albany, NY)
    …with our business objectives. This position requires a strategic, hands-on leader capable of managing a team of engineers, architects, and IT professionals, ... will need a strong background in IT management, software development , project management, business analysis, and change...business analysis, and change management. You will also lead the team to find innovative ways to develop… more
    Public Consulting Group (03/29/25)
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  • National Contracting Director (Value Based Care)…

    Molina Healthcare (Rochester, NY)
    …will partner closely with clinical, actuarial, analytics, network, community engagement, and business development teams to craft tailored, scalable VBC programs ... and evolution of value-based care (VBC) programs across all lines of business - Medicaid , Medicare, and Marketplace. This role is critical in driving… more
    Molina Healthcare (04/24/25)
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  • Product Manager

    Staffing Solutions Organization (Albany, NY)
    …Program needs and Policy changes to ensure reporting requirements, performance goals and Medicaid compliance. e. Lead the collaboration required to develop and ... Manuals and Release Plans. **2. Oversight of Data Asset Development ** a. Lead and collaborate with the...accurate and efficient extraction, transformation and loading (ETL) of Medicaid data. c. Ensure development team creates… more
    Staffing Solutions Organization (05/20/25)
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  • Senior Category Manager - Software

    Humana (Albany, NY)
    …expiring contracts, software assessments, consolidating the IT supply base, alongside run-the- business initiatives). As the IT Procurement Lead (Senior Category ... Manager), you will lead the development of category strategies, design sourcing plans, oversee negotiations,...becoming a trusted advisor to, key functional leaders and business partners. This leader will also partner… more
    Humana (05/21/25)
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  • Coordinator of Community Supports

    The Arc Erie County NY (Williamsville, NY)
    …Ensures that programs meet regulatory requirements related to OPWDD, OMH, Medicaid and/or other governing bodies. Manages oversight of fiscal regulatory information ... maintenance of those records as appropriate. + Coordinates the development of intervention/training objectives. Implements, documents and monitors the progress… more
    The Arc Erie County NY (05/14/25)
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  • VP, National Provider Network Management

    Humana (Albany, NY)
    …help us put health first** Humana is a $100+ billion (Fortune 38) market leader in integrated healthcare with a clearly defined purpose to help people achieve ... most productive. Against that backdrop, Humana is seeking an accomplished healthcare leader for the position of Vice President, National Provider Network Management.… more
    Humana (05/17/25)
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  • IPA Coding Associate Director

    CenterWell (Albany, NY)
    …our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate ... reflective of the disease prevalence within the population. The IPA Coding Leader partners with IPA strategic partners to develop market-specific strategies to… more
    CenterWell (04/24/25)
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  • Community Outreach Representative

    VNS Health (Manhattan, NY)
    …+ Meets and reviews individual monthly referral-related goals, events development and objectives. + Identifies potential community partners and opportunities ... to support referrals to VNS Health. + Drafts and presents business plan for assigned territory for Outreach management. + Demonstrates familiarity with, and remains… more
    VNS Health (04/15/25)
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