• Manager , Risk Score Accuracy

    Healthfirst (NY)
    …variances to budget. + Manage all analytical audit requests as they relate to Medicare RADV and OIG and prepare financial impacts estimations. + Respond to requests ... occurring in our provider community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance.… more
    Healthfirst (08/08/25)
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  • Case Manager - Home Health

    Guthrie (NY)
    Make a Difference One Home at a Time - Become a Case Manager with Guthrie Home Health - $25,000 Sign-On Bonus! Looking for flexibility, autonomy, and purpose in your ... York is seeking a disciplined, compassionate, and community-minded, full time, Registered Nurse Case Manager to join our dedicated team in Waverly, NY. As a Case … more
    Guthrie (08/28/25)
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  • Accounting Manager

    Loretto Management Corporation (Syracuse, NY)
    Overview The Accounting Manager prepares monthly financials statements, assists in cash flow projections, annual budget, tax returns and cost reports. Prepares ... third party agency regulations. + Applies knowledge of various Medicare , Medicaid, and other third party billing rules. +...member of the finance team. Job Expectations as a Manager : + As a Manager , this position… more
    Loretto Management Corporation (08/25/25)
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  • GHD Front -End Manager

    Garnet Health (Middletown, NY)
    …life, we invite to make your career home with us as a Front Officer Manager at Garnet Health Doctors. Responsibilities The GHD Front Desk Manager is responsible ... registration, appointment scheduling, billing readiness, and front-desk operations. The Manager collaborates with clinical and administrative leaders to optimize… more
    Garnet Health (08/22/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …Overview Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager who has their MSW to join our incredible growing team of ... Responsibilities In the role of an Social Work Care Manager , you will partner with the Registered Nurse and...transportation + Must be in good standing with the Medicare and Medicaid programs. + Must be free of… more
    Elderwood (08/16/25)
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  • Social Services Care Manager

    Humana (Albany, NY)
    …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' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
    Humana (08/08/25)
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  • Lead Technology Product Manager -Commercial…

    Wolters Kluwer (New York, NY)
    **Lead Technology Product Manager ** - Commercial Drug Information This role follows a hybrid model, offering the flexibility to work remotely while staying connected ... part of the **Wolters Kluwer Health team** , the **Lead Technology Product Manager for Medi-Span** plays a critical role in advancing our commercial drug information… more
    Wolters Kluwer (07/18/25)
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  • RN Care Manager - Occasional - Days

    Mohawk Valley Health System (Utica, NY)
    RN Care Manager - Occasional - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a comprehensive assessment to ... services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH...as requested by the Executive Director or Clinical Services Manager . + Clarifies issues and actively addresses concerns in… more
    Mohawk Valley Health System (07/09/25)
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  • RN Case Manager , Eddy Senior Care / PACE

    Trinity Health (Latham, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding ... opportunity for an RN Case Manager to work out of our 385 Watervliet Shaker...in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare… more
    Trinity Health (06/11/25)
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  • Lead Product Manager , Next Best Action…

    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 ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
    Humana (09/03/25)
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