• Registered Manager Local Specialty

    Walgreens (Buffalo, NY)
    …of a Walgreens Local Specialty Pharmacy, and accountable for improving unit sales , profits, and image through the overall development and protection of store ... and submission of claims to government- sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well as the facilitating… more
    Walgreens (10/11/25)
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  • Actuarial Analyst, Pricing

    Humana (Albany, NY)
    …insights. Researches and understands competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for ... consumer experiences **Preferred Qualifications** + Experience with SQL or VBA + Medicare experience Travel: While this is a remote position, occasional travel to… more
    Humana (10/04/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... in the primary care and the ambulatory care environment, healthcare insurance industry, healthcare administration in primary care, or healthcare consulting in… more
    Highmark Health (08/20/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the… more
    Highmark Health (10/12/25)
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  • Community Relations Specialist - Bronx (Bilingual)

    Centene Corporation (Bronx, NY)
    sales /marketing experience, preferably with government products. required Health insurance or managed care experience preferred Specific language skills may be ... health fairs and community activities, training, member retention activities, sales visibility and business, broker, provider, market, lead generation, vendor… more
    Centene Corporation (10/03/25)
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  • Intake Coordinator

    BrightSpring Health Services (New Hyde Park, NY)
    …or some college preferred + Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies + Knowledge of insurance ... Amerita's intake coordinator are responsible for working in coordination with the sales and pharmacy teams process patient referrals and admissions in a timely… more
    BrightSpring Health Services (08/22/25)
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  • Health Benefit Rep - Bilingual Spanish

    Centene Corporation (Poughkeepsie, NY)
    …benefits including a fresh perspective on workplace flexibility. **100% Community field-Based Sales position for Putnam or Orange County, NY** **Highly Preferred - ... of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare , MLTC, FIDA and HARP. Ability to answer product...HBR thoroughly and completely understands and regularly uses the Sales Force CRM as an activity tracking and lead/referral… more
    Centene Corporation (09/12/25)
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  • Senior Financial Underwriter

    Humana (Albany, NY)
    …information, as well as ability to problem solve, and effectively negotiate with Sales and other areas of Humana is critical. The Senior Financial Underwriter will ... Compliance areas to evaluate ability to match plans for takeover. + Negotiates with Sales and Account Management as needed in preparing offers for new and existing… more
    Humana (10/08/25)
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  • Growth & Community Engagement Specialist (Must…

    Molina Healthcare (Queens, NY)
    …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: health care, insurance , health insurance , Medicaid, Medicare , health coach, community ... of the Community. Our Specialists work collaboratively with our sales team and across Molina and with each other's...**Preferred License, Certification, Association:** + Active Life & Health Insurance + Market Place Certified To all current Molina… more
    Molina Healthcare (10/07/25)
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  • Nurse Navigator

    Catholic Health Services (Rockville Centre, NY)
    …current referral sources / business associates and involves either the Director of Sales & Marketing or the General Manager. (Based on reporting structure). + ... by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . + Evaluates current and future clinical and service needs for existing and… more
    Catholic Health Services (08/15/25)
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