- Lundbeck (New York, NY)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... Psychiatry Account Manager - Upper East Side, NY Requisition ID:...on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Lundbeck (New York, NY)
- BioPharmaceutical Account Manager - Manhattan South, NY Requisition ID: 6863 Location: New York, NY, US **Territory: Manhattan South, NY - Neurology** Target area for ... the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand creation… more
- CVS Health (NY)
- …of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more
- Lundbeck (Queens, NY)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... Multi-Specialty Account Manager - Queens, NY Requisition ID: 6547 Location:...the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Healthfirst (NY)
- …and terminations. + Collaborate with internal teams (eg, sales, customer service, compliance ) to ensure seamless management of members. + Monitor ,report, and ... ensures core Enrollment and Billing activities are managed in compliance with State and CMS guidelines and to ensure...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more
- Molina Healthcare (Yonkers, NY)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- CVS Health (NY)
- …is an individual contributor role**_** **Position Summary** The Sr. Manager , Value-based Contracting is responsible for establishing and maintaining productive ... + aligning negotiation strategies and tactics with network accessibility, quality, compliance and financial performance goals + Supports the complete value based… 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 ... This role manages a growing team, develops and refines operational practices, ensures compliance with all applicable laws and regulations, and serves as a key… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation ... specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and procedure, identifies and refers… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... and performing all required tasks assigned by the Sales Manager . Incumbent will be responsible for educating and enrolling...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more