• EPMO Data Analytics Director

    City of New York (New York, NY)
    …including Cash Assistance, the Supplemental Nutrition Assistance Program (SNAP), Medicaid , Domestic Violence Services, Home Care Services, Child Support Services, ... supporting Information Technology (IT) initiatives through various services, including business analysis, project management, relationship management; prioritizing IT financial… more
    City of New York (03/19/25)
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  • Director, Actuarial Services - Transform…

    Evolent (Albany, NY)
    …and patient health. This role supports both medical cost management activities and business development efforts. **What You Will Be Doing:** + Analyze claims ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...a manner which is actuarially sound + Ability to lead and work independently with cross-functional teams in a… more
    Evolent (03/22/25)
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  • Database Platform Architecture

    Humana (Albany, NY)
    … Lead Cloud Database Architect performs technical planning, architecture development and modification of specifications for cloud computing environments. Develops ... and ongoing learning. We are seeking a highly skilled and experienced Lead Cloud Database Platform Architect to drive the strategy, architecture, and engineering… more
    Humana (04/24/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (East Syracuse, NY)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development . **National Government Services** is a proud member of Elevance ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit...vary depending on the above factors as well as market/ business considerations. No amount is considered to be wages… more
    Elevance Health (05/22/25)
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  • Director

    City of New York (New York, NY)
    …Office of Child and Family Health, Faith-based Services, Senior Advisor for Medicaid Redesign, and Parent Advocacy Council. The Office of Equity Strategies (OES) ... and serves as an in-house resource, providing technical assistance on the development and implementation of equity centered strategies. There are two programmatic… more
    City of New York (05/01/25)
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  • Associate Director, Marketing Campaign Management

    Humana (Albany, NY)
    …remote anywhere in the US. Reporting to the Director of Production, you will lead a team supporting the acquisition side of Humana Insurance, Retail and Specialty ... Qualifications** + Bachelor's degree or higher in marketing, communications, business or a related field + 6+ years of...matching program + Network Resource Groups (NRGs) + Career development opportunities **Our Hiring Process** As part of our… more
    Humana (05/20/25)
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  • Manager Enrollment and Billing

    Healthfirst (NY)
    …methodology for software development at least from the role of a business stakeholder. + Working knowledge of how data processes through systems and system ... and CMS guidelines and to ensure member satisfaction + Lead cross functional risk assessment root cause analysis activities...tools like Tableau and Knowledge of NY lines of business such as Medicare NY, Medicaid , Child… more
    Healthfirst (03/11/25)
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  • Director of Care Management and Nursing Logistics

    Catholic Health Services (Smithtown, NY)
    …and self- development to remain current with industry standards and business objectives Ability to customize innovative discharge plans that supports frontline ... Then you have what it takes to be a leader at St. Catherine of Siena Hospital. You are...and Denials. Identify opportunities for improvement that result in development of efficient processes and enhanced revenue. Provide guidance… more
    Catholic Health Services (05/07/25)
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  • Senior Enterprise AI/ML DevOps Engineer

    Humana (Albany, NY)
    …at Humana, you promote flexible collaboration and communication between development , security, compliance, testing, monitoring and production teams. Optimizes the ... Develop and implement DevOps governance policies and standards, ensuring alignment with business objectives and industry best practices. + Drive the adoption of… more
    Humana (05/13/25)
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  • Specialty Care Manager

    Catholic Charities Family Community Services (Rochester, NY)
    …plans, and care plans as required by standards set by DOH and lead Health Home contractors. + Demonstrate, promote and practice cultural competency towards clients ... Assist clients in the acquisition and maintenance of public benefits eg, Medicaid , SNAP, Social Security, etc. + Provide linkage/referrals and coordination of… more
    Catholic Charities Family Community Services (05/01/25)
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