• Manager , Managed Care

    Cardinal Health (Albany, NY)
    …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
    Cardinal Health (10/10/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Syracuse, NY)
    …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
    Molina Healthcare (09/28/25)
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  • Pharmacist, Clinical/Medication Therapy Management…

    Molina Healthcare (NY)
    …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
    Molina Healthcare (09/24/25)
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  • National Account Manager - Retail,…

    Indeed (New York, NY)
    …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
    Indeed (10/08/25)
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  • Wealth Management Solutions, Managed

    JPMorgan Chase (New York, NY)
    **Our Team** As a part of Investment Solutions, the Managed Product Group serves as subject matter experts and is responsible for product management of traditional ... investments, including mutual funds, Exchanged Traded Funds (ETFs), and Separately Managed Accounts (SMAs) offered through the Private Bank, Chase Wealth Management,… more
    JPMorgan Chase (09/21/25)
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  • Director, Clinical Systems

    Molina Healthcare (Buffalo, NY)
    …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
    Molina Healthcare (10/01/25)
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  • Pharmacist, Utilization Management (UM)

    Molina Healthcare (Yonkers, NY)
    …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
    Molina Healthcare (10/09/25)
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  • Health Home Care Manager I

    HCR Home Care (Rochester, NY)
    Salary Range: $19.00 - $26.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 1 is primarily in an… more
    HCR Home Care (10/07/25)
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  • Health Home Care Manager II

    HCR Home Care (Canton, NY)
    … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
    HCR Home Care (10/03/25)
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  • Registered Nurse (RN) Care Manager

    Whitney Young Health Center (Albany, NY)
    …certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: $76,000 ... Registered Nurse (RN) Care Manager - Women's Health/Pediatrics (Req...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
    Whitney Young Health Center (08/16/25)
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