- SUNY Upstate Medical University (Syracuse, NY)
- …Friday 8:00 am - 4:30 pm Message to Applicants: Our benefits package includes health , dental and vision insurance , eligibility for employer 401k funding after 1 ... Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role… more
- Highmark Health (Albany, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal ... Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Albany, NY)
- …experiences **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, ... part of our caring community and help us put health first** The Corporate Medical Director relies on medical...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Centene Corporation (New York, NY)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Humana (Albany, NY)
- …review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , or other healthcare providers. + Utilization… more
- Independent Health (Cheektowaga, NY)
- …experience required. Experience working with Medicare preferred. + Current license to sell health insurance in the State of New York required or must obtain ... with prospects in the Medicare market. They will staff Independent Health Medicare Information Centers and ensure PHI and security metrics are met. The… more
- Humana (Albany, NY)
- …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Merck (Albany, NY)
- …sales or operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) ... how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions… more