- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer ... gaining in-depth insights into the underlying factors shaping the member experience . The role extends beyond observation... experience data, to influence the long-term experience strategy of Medicare . + Performs other… more
- CVS Health (Albany, NY)
- …the Senior Manager drives innovation and operational excellence to optimize member experience , reduce costs, and ensure regulatory compliance and competitive ... market segments - Direct product enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage plans, including C- SNP plans.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... Quality Assurance (NCQA) accreditation standards, as appropriate to the member 's case assignment. Uses a systematic approach to identify members meeting program… more
- Amgen (New York, NY)
- …types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial payers, Medicare plans, and state Medicaid in a ... we reach millions of patients each year. As a member of the Amgen team, you'll help make a...lives of patients while transforming your career. **Field Reimbursement Manager - New York Metro** **What you will do**… more
- Molina Healthcare (Buffalo, NY)
- …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years ... Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized… more
- Kestra Medical Technologies, Inc (Buffalo, NY)
- The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders ... and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales area… more
- J&J Family of Companies (New City, NY)
- …and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Queens, Brooklyn, ... Heights, NY. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients… more
- Humana (Albany, NY)
- …cross-channel orchestration + Understanding of AI/ML applications in privacy, personalization, and member experience Travel: While this is a remote position, ... center experience , ensuring it supports campaign categorization, channel-of-choice, and member control + Collaborate with CRM teams to enhance call center… more
- CVS Health (Albany, NY)
- …- 2 years Case Management, Discharge Planning, and/or Home Health Care coordination experience - Certified Case Manager is preferred. - Excellent analytical and ... impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where… more
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