• Senior Program Manager

    Molina Healthcare (Rochester, NY)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge… more
    Molina Healthcare (10/17/25)
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  • AVP, General Manager - Medicare

    CVS Health (Albany, NY)
    …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team… more
    CVS Health (11/22/25)
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  • Mgr,Business Analysis (IC)

    CVS Health (Albany, NY)
    Medicare Stars Web team is an integral part of the Medicare Stars business. We are seeking a ** Manager , Business Analysis** , to join our team. This ... different levels of the organization + Demonstrated knowledge of Medicare Stars + Understanding and use of...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (10/24/25)
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  • Senior Product Manager

    Humana (Albany, NY)
    …and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior ... Product Manager work assignments involve moderately complex to complex issues...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
    Humana (11/19/25)
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  • Regional Manager , Value-Based Programs…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for marketplace, Medicaid and/or … more
    Molina Healthcare (11/09/25)
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  • Provider Engagement Manager

    Vatica Health (Scarsdale, NY)
    …as Power BI (Preferred) + Strong knowledge/experience with Quality, Risk Adjustment and Medicare HEDIS/ Stars Programs (Preferred) + Experience working in a CRM ... The Provider Engagement Manager (PEM I), is an integral role at...quality and risk adjustment performance in the Vatica Health program , thus impacting overall patient outcomes. This individual should… more
    Vatica Health (10/16/25)
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  • Technology Product Management Director

    CVS Health (New York, NY)
    …day. **Position Summary** The Lead Director, Technology Product Management for Medicare Messaging Orchestration and STARs optimization will define strategic ... outcomes. You will work closely with the Business General Manager (GM), Design, Engineering, and Data/Analytics as part of...tech-ops, security, etc. to ensure overall cohesion for the Medicare technology product line. You will develop and lead… more
    CVS Health (11/08/25)
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  • RN - Registered Nurse

    Elderwood (North Creek, NY)
    …with a dedicated team in a positive and respectful atmosphere. Proudly Rated 4 Stars by CMS! Elderwood at North Creek has earned a 4-star rating from the ... Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York...11% more with our Pay in Lieu of Benefits Program (higher base pay) + Employee Referral Bonus -… more
    Elderwood (10/24/25)
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  • Clinical Risk Management Analyst (RN) - Day Shift,…

    Trinity Health (Syracuse, NY)
    …overall functions including but not limited to: NYPORTS, NIMRS, Justice Center, STARS /ClearSight, Centers for Medicare and Medicaid Services (CMS) death ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** Management… more
    Trinity Health (11/20/25)
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