- Molina Healthcare (Albany, NY)
- …**Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary ... prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. The MTM Pharmacy… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and ... synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Develops, recommends and implements controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes ... potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately protected against… more
- aptihealth (NY)
- …+ Conduct diagnostic interviews to assess and diagnose patient's need for medication management + Provide high-quality brief and long-term psychiatric care to members ... Life at aptihealth The aptihealth team is comprised of health care, data science and technology experts passionate about transforming behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for… more
- Sharecare (Albany, NY)
- …**Job Summary:** Under the direction of the Sr Manager of Customer Service, the Customer Service Manager will oversee a team of Customer Service Representatives ... and/or Engagement Specialists. Responsibilities include the coaching, development and daily support and management of the team. In addition, the Customer Service Manager is responsible for metric and quality performance monitoring. The successful candidate… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more ... business processes. Applies and promotes key principles (eg stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and regulatory guidance.… more
- Cengage Group (New York, NY)
- …experience, internal equity, and geographic location. Sales roles often incorporate a significant incentive compensation program beyond this base pay range. $24.00 - ... $28.00 USD **Cengage Group** , a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready. For more than 100 years,… more
- Sharecare (Albany, NY)
- …Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one ... place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change.… more
- Philips (New York, NY)
- In this role you will manage AllParts sales and marketing activities, and provide technical expertise in the **Northeast** **US Region** **.** **Your role:** + Sell ... entire line of AllParts products and Develop, manage and continuously update Region Business Plan in order to maximize competitive advantage. + Demonstrate and promote AllParts products at regional and national trade shows + Meet or exceed region sales budget… more