- CVS Health (Albany, NY)
- …each and every day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team to effectively manage client ... expectations and business needs related to plan drafting and issue resolution. Designs and implements processes...facilitate the design and implementation of customized healthcare benefit plans . + Provide expert advice and guidance on benefit… more
- UPMC (Jamestown, NY)
- …management, or care coordination? UPMC Chautauqua is looking for a **Senior Discharge Plan Manager ** to support their Clinical Care Coordination and Discharge ... equally in discharge planning roles! _ The Senior Discharge Plan Manager is a valued step in...the interdisciplinary care team in order to develop discharge plans . Serve as a liaison between the patient and… more
- CVS Health (New York, NY)
- …we do it all with heart, each and every day. **Position Summary** The Senior Manager role on the Health Plan Adherence Solutions team under the Retail Pharmacy ... products that can be packaged and sold to Health Plans as ways to improve and maintain their adherence...P&L management of the capabilities launched. Specifically, the Senior Manager will be leading a team through refining the… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse ... Case Manager reports to the Manager of Case Management. Responsible for developing and managing...Uses clinical tools for patient assessment, creating individualized care plans . * Communicates with patients, physicians, DME providers, etc.,… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... individual who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying, leading, and executing operational… more
- Monroe Plan for Medical Care (Bath, NY)
- Care Manager - Safe Options Support Summary Title:Care Manager - Safe Options Support ID:SOS027 (Bath) Location:Bath Job Type:Full-time Date Posted:07/16/2025 ... Make a meaningful difference where it matters most. At Monroe Plan , we're committed to supporting vulnerable communities through compassionate, person-centered care.… more
- Molina Healthcare (Albany, NY)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... Health Plan Scorable Action Items (SAIs) to ensure performance and...and provider reimbursement models to shape recommendations and action plans . + Translates strategic needs into clear requirements, workflows,… more
- Monroe Plan for Medical Care (Cortland, NY)
- Care Manager II - Health Home Summary Title:Care ...with an Organization that values you? It's here! Monroe Plan for Medical Care is hiring Care Managers in ... of healthcare for underserved populations.For over 50 years, Monroe Plan for Medical Care, a not-for-profit health care services...2 years of experience as a Health Home Care Manager serving the SMI or SED population.- Demonstrates ability… more
- Lincoln Financial (Albany, NY)
- …to be hiring a ** Manager , Compliance testing team** role in our Retirement Plan Services business line in our Fort Wayne office or remote. In this role you ... volumes and short and long-term staffing requirements * Designs and implements training plans based on assessment of team needs * Monitors and controls expenses… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The ideal candidate is an experienced program manager with healthcare payer / TPA experience who excels in client interaction and can effectively ... they align with expected business outcomes. + Develops and manages project plans , including scheduling, resource tracking, and financials. + Defines and implements… more