- Lundbeck (Buffalo, NY)
- …to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance -… more
- Molina Healthcare (Rochester, NY)
- …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
- Molina Healthcare (Yonkers, NY)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Centene Corporation (Queens, NY)
- …outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion ... and optimization of Medicare -focused VBP arrangements across New York. This role is...Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will serve as a subject matter expert in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Manager Patient Accounting-Patient Financial Services ( Medicare /Medicaid) Corporate-Full-Time Days** The Manager is responsible for ... department or division to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to institutional policies and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... performing all required tasks assigned by the Sales Field 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
- Molina Healthcare (Yonkers, NY)
- …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual...8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls… more
- Healthfirst (NY)
- …and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, and tracking approvals of material reviews ... in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal...provide feedback to the team and the Regulatory Affairs Manager . + Validates the monthly formulary. + Review the… more
- Molina Healthcare (Syracuse, NY)
- …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Buffalo, NY)
- …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
