- Humana (Albany, NY)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine...Master's degree **Additional Information** **This role is a 100% remote role anywhere in the US and will primarily… more
- Humana (Albany, NY)
- …no time off permitted for the first 90 days; any/all exceptions are at the manager 's discretion Travel: While this is a remote position, occasional travel to ... of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members'… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits , preferred. + Strong written and verbal ... clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more
- Callen-Lorde Community Health Center (New York, NY)
- MANAGER OF BILLING (CPC) Job Details Job Location Corporate/Administrative Office - Chelsea - New York, NY Secondary Job Location(s) Callen-Lorde Community Health ... Center - Manhattan - New York, NY Remote Type Hybrid Position Type Full Time Education Level...main site in Chelsea is open Monday through Saturday. Benefits : Salary will be based on experience and will… more
- Centene Corporation (New York, NY)
- …time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for the ... job have the flexibility to work remote from home with a strong preference living in...claim processing payer support services in healthcare, preferably with Medicare , Medicaid or equivalent business experience. Ability to deal… more
- Humana (Albany, NY)
- …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** **Required...your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Albany, NY)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing… more
- CenterWell (Albany, NY)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to… more
- CenterWell (Albany, NY)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value...markets or team on-sites Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Albany, NY)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits , and opportunities to grow yourself and your career. We proudly employ… more