• Field Care Manager, Ltss (RN)

    Molina Healthcare (NY)
    …Opportunity for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar ... County. Part of the responsibilities of the role is to...to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage… more
    Molina Healthcare (07/20/25)
    - Related Jobs
  • Data Science Analyst III - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and ... methodologies. c. Collects, organizes, integrates, analyzes and interprets data. d . Leverages advanced statistical analysis methods to create insightful… more
    Mount Sinai Health System (07/03/25)
    - Related Jobs
  • Health Care Sales Enroller

    MVP Health Care (Whitehall, NY)
    …Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ( D ... + **Participate in necessary screenings and provide proof of immunization** as part of our commitment to community well-being. + **Demonstrate the dynamic… more
    MVP Health Care (08/12/25)
    - Related Jobs
  • Individual Product Advisor - Outreach

    MVP Health Care (Rockland County, NY)
    …Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ( D ... + **Participate in necessary screenings and provide proof of immunization** as part of our commitment to community well-being. + **Demonstrate the dynamic… more
    MVP Health Care (08/09/25)
    - Related Jobs
  • Risk Adjustment Audit Operations Analyst - RADV

    Molina Healthcare (NY)
    …and team learning. + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the investigation of data ... Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS...package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Pay Range: $77,969 - $128,519 / ANNUAL *Actual… more
    Molina Healthcare (08/08/25)
    - Related Jobs