Managed Care Jobs in New York
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Search Results - Managed Care Jobs in New York
ilocatum-New York-
by a high-functioning, well-led team.
Required Qualifications
• Strong analytical and problem-solving skills, with the ability to turn complex data into insight and action
• Quality or HEDIS performance experience under value-based care, at a managed-care...
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Tandym Health-New York-
in a managed care setting, in particular, utilization management
Your privacy is important to us. For consideration, please submit your CV in confidence, and our recruiter will contact you to discuss the job location and details before forwarding your CV...
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MetroPlusHealth-New York-
including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system...
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New York-vnshealth.org-
knowledge of managed care operations and government-sponsored programs, and the ability to effectively navigate and coordinate across multiple internal and external stakeholders.
Responsibilities:
What We Provide
• Referral bonus opportunities...
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RCM Healthcare Services-New York-
HIM), Rehabilitation, Managed Care, Allied Health Professionals, and Physicians, as well as temporary staffing and Travel Nurse assignments.
With decades of staffing expertise, our team understands the environments professionals step...
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BMS Family Health and Wellness Centers-New York-
patient encounters within 48 hours and reviewing/signing laboratory results, reports, and clinical documents in accordance with BMS policies.
• Maintain compliance with Managed Care/HMO requirements, Joint Commission standards, HRSA guidelines, and New...
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Jobot-New York-
A bit about us:
We are an NYC based non-profit managed care plan and pride ourselves on serving fellow New Yorkers.
We offer a variety of healthcare services and strive to connect our members with what works best for them and their family.
Are you...
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Mercor-New York-careers-page.com-
Position: Underpayment & Managed-care Contract Specialist
Type: Contract
Compensation: $85/hour
Location: Remote
Role Responsibilities
• Identify, analyze, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid...
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New York-icims.com-
and implement policies and procedures. Comprehensive knowledge of regulations governing Article 28, managed care and commercial insurance plans.
Preferred Skills, Knowledge and Abilities: Knowledge of Medicaid and HIPAA including administrative best practices...
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EAST FLORIDA EYE INSTITUTE-New York-appcast.io-
the ideal balance of Florida living—a tropical climate with fewer managed‑care pressures, A‑rated schools, vibrant dining and arts, and exceptional access to boating, beaches, golf, and watersports.
The Practice
• Over 35 years in practice with no history...
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New York-somatus.com-
management experience
• Experience working within a managed care environment
Compensation:
$85,000 to $97,000 per year
We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team...
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New York-vnshealth.org-
in Nursing required. Bachelor's Degree in Nursing Preferred Master's Degree in Nursing preferred
Work Experience:
Minimum two years’ nursing experience in an institution, Home Care or Managed Long Term Care Program Required Experience conducting enrollments...
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VNS Health-New York-
and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferredMaintains a collaborative practice agreement with a physician in compliance with New York State regulations preferredMust be certified by ANCC or another...
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Randstad-New York-randstadusa.com-
Market leading managed care organization looking for remote RN Case Managers! Great opportunity, please call us today!
Please note, must have active NY RN licensure for this role.
Location: Remote
Schedule: Monday-Friday, 8:00 AM-5:00 PM EST...
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VNS Health-New York-
/regional needs may be required
• Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required
• Maintains NPI, Medicaid and Medicare provider numbers preferred
• Maintains a collaborative practice...
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