• Medicaid Managed Care

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
    Abbott House (11/20/25)
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  • Marketing Liaison

    Allaire Rehab & Nursing (Freehold, NJ)
    …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
    Allaire Rehab & Nursing (12/20/25)
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  • Vice President of Post-Acute Care - Skilled…

    Catholic Health Services (Rockville Centre, NY)
    managed care organizations. + Negotiate and manage payer contracts (Medicare, Medicaid , managed care , bundled payments). + Use operational and ... Overview The VP of Post-Acute Care - Skilled Nursing Facilities is a senior executive...Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case-mix index (CMI). + Reduce bad debt and… more
    Catholic Health Services (12/04/25)
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  • Care Coordinator-Psychiatry

    Mount Sinai Health System (New York, NY)
    …as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and other community ... **Job Description** The Care Coordinator is responsible for coordinating care...Medicaid data to educate patients and form a care plan with specific health outcomes. The position is… more
    Mount Sinai Health System (11/25/25)
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  • Health Information Management Administrator 3

    New York State Civil Service (Queens Village, NY)
    …for Title Health Information Management Administrator 3 Occupational Category Health Care , Human/Social Services Salary Grade 22 Bargaining Unit PS&T - Professional, ... Resolves issues regarding diagnostic codes for laboratory agencies and Medicaid and Medicare reimbursements.* Prepares for, coordinates, and participates in… more
    New York State Civil Service (12/19/25)
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  • Field Health Benefits Coordinator

    Conduent (New Brunswick, NJ)
    …with people representing diverse backgrounds is preferred. **Required skills/abilities:** + Knowledge of Medicaid and managed care programs. + Ability to ... to the Outreach Supervisor and serves as a key liaison between the NJ FamilyCare program and the community....to educate consumers about NJFC and the benefits of managed care within an office and call… more
    Conduent (10/07/25)
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  • Centralized Admissions

    Sodus Rehab & Nursing Center (Tarrytown, NY)
    …assessments & paperwork requirements + Maintain knowledge of regulations governing Medicare/ Medicaid / Managed Care reimbursement processes + Coordinate and ... required. + Maintain knowledge of Federal and State regulations and reimbursement processes ( Managed Care , Medicare, and Medicaid ). + Effectively manage… more
    Sodus Rehab & Nursing Center (12/05/25)
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  • Pharmacist, Utilization Management (UM) Remote…

    Molina Healthcare (Yonkers, NY)
    …applicable software program(s) proficiency. **Preferred Qualifications** + Medicare Part D and/or Medicaid experience. + Managed care experience Pay Range: ... 3 years of experience in a pharmacy, Pharmacy Benefit Manager(PBM), formulary, and/or managed care setting, and 1-2 years post-graduate experience, or equivalent… more
    Molina Healthcare (12/24/25)
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  • Office Assistant 2 (Calculations)

    New York State Civil Service (Queens Village, NY)
    …for the purpose of purchasing commodities and services as directed. * Liaison with contractors/suppliers and agency staff to help resolve procurement issues. * ... operations regarding accounts payable. Verify vendor invoices for payment processing. Liaison to NYS OGS Business Services Center for payment processing. Pay… more
    New York State Civil Service (12/15/25)
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  • Specialty Sales Representative, Immunology…

    Grifols Shared Services North America, Inc (New York, NY)
    …strategy, aligns tactics to the needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... + Educate and promote IG product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. + Key Opinion Leader… more
    Grifols Shared Services North America, Inc (12/12/25)
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