• Bilingual Case Manager

    Cardinal Health (Albany, NY)
    …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
    Cardinal Health (07/18/25)
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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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  • 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 (07/11/25)
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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, Waverly NY Looking for flexibility, autonomy, and purpose in your nursing ... 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 (06/26/25)
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  • Manager , Market Access

    Blue Matter (New York, NY)
    …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... and pharmacy benefit across all major US payer segments (eg, Commercial, Medicare , Medicaid, and Federal Markets) + Demonstrated knowledge of reimbursement … more
    Blue Matter (07/12/25)
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  • Manager of Financial Counseling Services

    Planned Parenthood of Greater New York (New York, NY)
    POSITION SUMMARY The Manager of Financial Counseling works closely with the Director Financial Counseling Services to provide support and oversight. The Manager ... an EPIC environment Subject Matter Knowledge . In-depth knowledge of Medicare /Medicaid eligibility requirements . Competency in completing and entering applications… more
    Planned Parenthood of Greater New York (07/24/25)
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  • Case Manager (RN)

    WMCHealth (Suffern, NY)
    …in the State of New York as a Registered Nurse. Understanding of Medicare /Medicaid criteria and insurance regulations and reimbursement . EDUCATION: A Bachelor's ... Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern,...link Internal Applicant link Job Details: Summary: The Case Manager (RN) is responsible for implementing and supervising the… more
    WMCHealth (07/16/25)
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  • Community Living Case Manager (QIDP)/Intake…

    Living Resources (Albany, NY)
    Community Living Case Manager (QIDP)/Intake Coordinator Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12203) Job Type Full-time Description Living ... program and necessary admission/discharge requirements + Knowledge of Medicaid, Medicare , SNAP and Social Security benefits and applications/certifications for each… more
    Living Resources (08/02/25)
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  • Intake Manager

    Heath System Services (Niagara Falls, NY)
    …passion for delivering exceptional customer experience!? We are seeking a Intake Manager who embodies our core values of Empathy, Passion, Integrity and Commitment, ... medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid, and commercial payer standards. + Act as a resource… more
    Heath System Services (07/23/25)
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  • Senior Manager , Network Management,…

    CVS Health (Albany, NY)
    …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
    CVS Health (07/19/25)
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