• Lead Medicaid Actuary ( Manager )

    Humana (Albany, NY)
    …needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and ... Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/27/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    CenterWell (Albany, NY)
    …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
    CenterWell (08/20/25)
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  • Healthcare Administrative Project

    City of New York (New York, NY)
    …the City's Industry Partnership for the healthcare sector seeks an experienced Project Manager to drive initiatives that strengthen New York City's ... degree from an accredited college and four years of experience in project coordination, project management, healthcare administration, workforce development,… more
    City of New York (08/14/25)
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  • Senior Project Manager

    Humana (Albany, NY)
    …of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team (known internally as a Senior IT ... Project Manager ). The ideal candidate will have...create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our… more
    Humana (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare . As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner… more
    Datavant (06/28/25)
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  • Care Manager , Sayville Project

    Stony Brook University (Bohemia, NY)
    Care Manager , Sayville Project **Required Qualifications (as...and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. ... or a related discipline and two (2) years of relevant human services, healthcare or care management experience, or a Master's degree (foreign equivalent or higher)… more
    Stony Brook University (08/08/25)
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  • MES Quality Assurance Project

    NTT DATA North America (Albany, NY)
    …of job** **:** The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall responsibility ... now. We are currently seeking a MES Quality Assurance Project Manager to join our team in...**Required Qualifications** **:** + Bachelor's degree in a technical, healthcare or management field or an Associate's degree and… more
    NTT DATA North America (07/02/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
    Molina Healthcare (08/14/25)
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  • Patient Accounts Manager (Billing…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Patient Accounts Manager (Billing Project Management) Patient Financial Services- Corporate- Full-Time Days** The Patient Accounts ... Manager oversees various aspects of accounts receivables management on...departments as necessary. + Monitors, implements and tracks all Medicaid applications. + Monitors the reconciliation of all manual… more
    Mount Sinai Health System (08/03/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Yonkers, NY)
    …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
    Molina Healthcare (07/25/25)
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