• Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
    Centers Plan for Healthy Living (07/15/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Yonkers, NY)
    …for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of responsibilities) within ... Medicare and Medicaid. Role is predicated on building relationships...needs and satisfaction, financial budgets, and current and future program initiatives. Ability to drive operational excellence and process-oriented… more
    Molina Healthcare (07/25/25)
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  • Director, Appeals & Grievances ( Medicare )

    Molina Healthcare (Yonkers, NY)
    … Duals, Appeals & Grievances, Provider Disputes (Par and Non-Par) and overall Medicare program knowledge. * Experience reviewing all types of medical claims ... claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare more
    Molina Healthcare (07/20/25)
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  • Program Manager - Center…

    Albany Medical Center (Albany, NY)
    …$134,309.04 Salary range: $86,650.99 - $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany Med ... Medical College, Department of Neurology and Director of Alzheimer's Program , the Program Manager will...CEAD RN staff, administrative oversight of the infusion treatment program , including patient enrollment and ongoing monitoring… more
    Albany Medical Center (05/26/25)
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  • Manager , Healthcare Sales

    MVP Health Care (Tarrytown, NY)
    …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the opportunity for you ... (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs),… more
    MVP Health Care (07/29/25)
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  • NM Seneca Case Manager

    Lakeview Health Services (Geneva, NY)
    …client service. Essential Job Functions Overview With the general oversight of the CSS Program Manager , works from a trauma informed care perspective to perform ... $2,500 SIGN-ON BONUS Title : Seneca County Non-Medicaid Case Manager Job Requisition No.: 1768 Program :...objectives. + Develop and revise support services plans upon enrollment , review every 6 months, and following significant changes… more
    Lakeview Health Services (07/03/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Brooklyn, NY)
    …all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members ... need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new… more
    Centers Plan for Healthy Living (07/15/25)
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  • Specialty Pharmacy Financial Access Manager

    Mount Sinai Health System (New York, NY)
    …regulations and laws (HIPAA, Board of Pharmacy, etc). 15. Oversees eligibility and enrollment in MS PAP program . 16. Processes payroll for Financial Access ... Description** Under direct supervision of the Senior Specialty Clinical Pharmacist Manager , the Specialty Pharmacy Financial Access Manager supervises Financial… more
    Mount Sinai Health System (07/30/25)
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  • Account Manager - Bilingual- Healthcare…

    FlexStaff (Bronx, NY)
    **Req Number** 161647 FlexStaff is seeking a Bi-lingual Spanish Account Manager for our client, a non-profit healthcare organization providing home and ... community leaders, providers, participants/caregivers and other audiences on PACE program benefits, identifying differentiators from other healthcare options, and… more
    FlexStaff (06/20/25)
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  • Account Service Consultant I/II (Buffalo/WNY…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …groups or converted groups as directed. Manages group implementations and supports enrollment meetings. + Acts as a liaison between the group/broker/consultant and ... to support vendor relationships and conversations related to electronic enrollment methods for assigned book of business. + Researches...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
    Excellus BlueCross BlueShield (06/24/25)
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